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Case Reports
. 2011 Feb;31(1):50-3.
Epub 2010 Dec 29.

Neuroendocrine carcinoma arising from the septum. A very rare nasal tumour

Affiliations
Case Reports

Neuroendocrine carcinoma arising from the septum. A very rare nasal tumour

E Iacovou et al. Acta Otorhinolaryngol Ital. 2011 Feb.

Abstract

The case is presented of a 73-year-old male with a history of right-sided nasal obstruction, hyponasal speech and three episodes of recurrent epistaxis. On examination, there was a tumour in the right nasal cavity. Computed tomography showed a mass in the right nasal cavity extending to the right maxillary sinus, ethmoidal cells and right sphenoid sinus. The patient underwent a functional endoscopic removal of the tumour. Biopsy revealed a small cell neuroendocrine carcinoma. This is an extremely rare tumour of the nasal cavity and sinuses. Because of the aggressive behaviour of this tumour, he was also treated with combined chemotherapy and radiation. Ten months later, he remains free of disease.

Viene presentato il caso di un uomo di 73 anni con una storia di ostruzione nasale destra persistente, rinolalia chiusa, e tre episodi di epistassi ricorrente. All'esame obiettivo, era presente una neoformazione della fossa nasale destra. La tomografia computerizzata ha evidenziato la presenza di una massa della cavità nasale destra estesa al seno mascellare, alle cellule etmoidali e al seno sferoidale omolaterali. Il paziente è stato sottoposto a rimozione della massa nasale per via endoscopica. L'esame istologico ha evidenziato un carcinoma neuroendocrino a piccole cellule, che rappresenta un tumore estremamente raro delle fosse nasali. A causa del comportamento aggressivo di tale tumore, è stato necessario eseguire un trattamento combinato radio-chemioterapico. Il paziente è libero da malattia a dieci mesi dall'esordio.

Keywords: Malignant tumours; Nasal cavity; Sinuses; Small cell neuroendocrine carcinoma.

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Figures

Fig. 1.
Fig. 1.
Intra-operative endoscopic image of the tumour.
Fig. 2.
Fig. 2.
Positive synaptophysin immunoreactions in neoplastic cells.
Fig. 3.
Fig. 3.
Positive Ki67 immunoreaction in neoplastic cells (90%).
Fig. 4.
Fig. 4.
Protocol of the French Cervico-facial Carcinological Society.

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