AccScience Publishing / TD / Volume 3 / Issue 2 / DOI: 10.36922/td.2423
CASE REPORT

High-grade sinonasal adenocarcinoma as an unusual presentation: A case report

Sara Moujrid1* Fadoua El Mourabit1 Walid Bijou1 Youssef Oukessou1 Sami Rouadi1 Reda Abada1 Mohamed Roubal1 Mohamed Mahtar1
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1 Department of ENT Head and Neck Surgery, Ibn Rochd University Hospital, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco
Tumor Discovery 2024, 3(2), 2423 https://doi.org/10.36922/td.2423
Submitted: 13 December 2023 | Accepted: 28 March 2024 | Published: 30 May 2024
© 2024 by the Author(s). This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution 4.0 International License ( https://creativecommons.org/licenses/by/4.0/ )
Abstract

The occurrence of malignant tumors, such as adenocarcinoma, is commonplace in the nasal region, characterized by a notably low incidence. This rarity often contributes to delayed diagnosis, rendering the condition challenging to manage. Here, we present the case of a 70-year-old man who presented with chronic left nasal obstruction, accompanied by headaches and recurrent epistaxis. The diagnostic investigation revealed an extensive and aggressive nasal adenocarcinoma, necessitating a hemi-maxillectomy for tumor excision. Subsequent reconstruction of the ipsilateral cheek was accomplished using a pectoralis major flap. Despite the initial intervention, the patient experienced a recurrence 1 year later. In sinonasal adenocarcinoma, nasal obstruction stands out as the predominant symptom, complemented by potential manifestations of swelling and facial deformation. The inherently aggressive nature of this tumor underscores the imperative for early diagnosis and meticulous management to achieve optimal therapeutic outcomes. The comprehensive approach involving surgical intervention and reconstruction reflects the complexity in treating advanced nasal adenocarcinomas.

Keywords
Adenocarcinoma
Malignancy
Nose
Paranasal sinuses
Funding
None.
References
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Conflict of interest
The authors declare that they have no competing interests.
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Tumor Discovery, Electronic ISSN: 2810-9775 Published by AccScience Publishing