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Carcinosarcoma of the maxillary sinus.

Moon JK, Kim AY, Chang DS, Park KY - Clin Exp Otorhinolaryngol (2011)

Bottom Line: Carcinosarcoma is a highly malignant tumor characterized by dual malignant histologic differentiation of epithelial and mesenchymal components.The tumor is extremely rare in the sinonasal tract.We report a case of a 62-year-old man with carcinosarcoma involving the maxillary sinus.

View Article: PubMed Central - PubMed

Affiliation: Department of Otolaryngology-Head and Neck Surgery, Eulji University School of Medicine, Daejeon, Korea.

ABSTRACT
Carcinosarcoma is a highly malignant tumor characterized by dual malignant histologic differentiation of epithelial and mesenchymal components. The tumor is extremely rare in the sinonasal tract. We report a case of a 62-year-old man with carcinosarcoma involving the maxillary sinus.

No MeSH data available.


Related in: MedlinePlus

Endoscopy and scan findings. (A) Endoscopic photograph demonstrating huge mass fillings in nasal cavity (M) and medial wall displacement of the maxillary sinus (arrow). The septum (S) and inferior turbinate (IT) can be observed. (B-D) Computed tomography and magnetic resonance imaging scan revealing large soft tissue mass with an ill-defined outline and an irregular peripheral enhancement on the right maxillary sinus. The lateral wall and anterior and inferior wall of the right maxillary sinus was focally destructed and orbital floor destruction was found.
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Figure 1: Endoscopy and scan findings. (A) Endoscopic photograph demonstrating huge mass fillings in nasal cavity (M) and medial wall displacement of the maxillary sinus (arrow). The septum (S) and inferior turbinate (IT) can be observed. (B-D) Computed tomography and magnetic resonance imaging scan revealing large soft tissue mass with an ill-defined outline and an irregular peripheral enhancement on the right maxillary sinus. The lateral wall and anterior and inferior wall of the right maxillary sinus was focally destructed and orbital floor destruction was found.

Mentions: A 62-year-old male was admitted to the emergency room due to uncontrolled epistaxis and complaining of swelling and tenderness in the right cheek. The patient was receiving warfarin as an anticoagulative measure, having previously suffered a stroke. An examination of the nasal cavity was not possible at the emergency room due to the severity of bleeding. Nasal packing was applied to staunch the bleeding. Two days later, when the nasal packing was removed and endoscopic examination performed, a mass in the middle meatus and bulging of the medial wall of the maxillary sinus were observed (Fig. 1A). Computed tomography (CT) and magnetic resonance imaging (MRI) scans revealed a large mass comprised of soft tissue with an ill-defined outline and an irregular peripheral enhancement on the right maxillary sinus. The mass had pushed against the right inferior wall of the maxillary sinus; destroyed the infraorbital foramen; completely destroyed the medial wall of the maxillary sinus; partially damaged the superior, middle and inferior turbinate; and obstructed the entire right nasal cavity. The lateral, anterior, and inferior walls of the right maxillary sinus were focally destroyed and a focal tumor extension was exposed. The mass extended superiorly to some part of the ethmoid sinus but did not involve the sphenoid sinus and frontal sinus (Fig. 1B-D).


Carcinosarcoma of the maxillary sinus.

Moon JK, Kim AY, Chang DS, Park KY - Clin Exp Otorhinolaryngol (2011)

Endoscopy and scan findings. (A) Endoscopic photograph demonstrating huge mass fillings in nasal cavity (M) and medial wall displacement of the maxillary sinus (arrow). The septum (S) and inferior turbinate (IT) can be observed. (B-D) Computed tomography and magnetic resonance imaging scan revealing large soft tissue mass with an ill-defined outline and an irregular peripheral enhancement on the right maxillary sinus. The lateral wall and anterior and inferior wall of the right maxillary sinus was focally destructed and orbital floor destruction was found.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3687061&req=5

Figure 1: Endoscopy and scan findings. (A) Endoscopic photograph demonstrating huge mass fillings in nasal cavity (M) and medial wall displacement of the maxillary sinus (arrow). The septum (S) and inferior turbinate (IT) can be observed. (B-D) Computed tomography and magnetic resonance imaging scan revealing large soft tissue mass with an ill-defined outline and an irregular peripheral enhancement on the right maxillary sinus. The lateral wall and anterior and inferior wall of the right maxillary sinus was focally destructed and orbital floor destruction was found.
Mentions: A 62-year-old male was admitted to the emergency room due to uncontrolled epistaxis and complaining of swelling and tenderness in the right cheek. The patient was receiving warfarin as an anticoagulative measure, having previously suffered a stroke. An examination of the nasal cavity was not possible at the emergency room due to the severity of bleeding. Nasal packing was applied to staunch the bleeding. Two days later, when the nasal packing was removed and endoscopic examination performed, a mass in the middle meatus and bulging of the medial wall of the maxillary sinus were observed (Fig. 1A). Computed tomography (CT) and magnetic resonance imaging (MRI) scans revealed a large mass comprised of soft tissue with an ill-defined outline and an irregular peripheral enhancement on the right maxillary sinus. The mass had pushed against the right inferior wall of the maxillary sinus; destroyed the infraorbital foramen; completely destroyed the medial wall of the maxillary sinus; partially damaged the superior, middle and inferior turbinate; and obstructed the entire right nasal cavity. The lateral, anterior, and inferior walls of the right maxillary sinus were focally destroyed and a focal tumor extension was exposed. The mass extended superiorly to some part of the ethmoid sinus but did not involve the sphenoid sinus and frontal sinus (Fig. 1B-D).

Bottom Line: Carcinosarcoma is a highly malignant tumor characterized by dual malignant histologic differentiation of epithelial and mesenchymal components.The tumor is extremely rare in the sinonasal tract.We report a case of a 62-year-old man with carcinosarcoma involving the maxillary sinus.

View Article: PubMed Central - PubMed

Affiliation: Department of Otolaryngology-Head and Neck Surgery, Eulji University School of Medicine, Daejeon, Korea.

ABSTRACT
Carcinosarcoma is a highly malignant tumor characterized by dual malignant histologic differentiation of epithelial and mesenchymal components. The tumor is extremely rare in the sinonasal tract. We report a case of a 62-year-old man with carcinosarcoma involving the maxillary sinus.

No MeSH data available.


Related in: MedlinePlus