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Leiomyosarcoma of the inferior nasal concha: a case report and literature review.
MedLine Citation:
PMID:  23113386     Owner:  NLM     Status:  In-Process    
Leiomyosarcomas (LMSs) of the sinonasal tracts are rarely reported. We present a case of an LMS of the left inferior nasal concha, and discuss the management options with review of the literature. A 72-year-old female patient presented with epistaxis. Clinical examination and medical imaging showed a tumour arising from the left inferior nasal concha. An endoscopic resection was performed. Anatomopathological and immunohistochemical analyses revealed the tumour to be a grade 3 LMS with uncertain posterior margins. The patient was a Jehovah's Witness and refused more radical surgical resection due to religious beliefs; therefore, adjuvant conformal radiotherapy (60 Gy) was performed. LMS of the nasal cavity is a rare and locally aggressive tumour with a high tendency of recurrence, requiring radical surgical resection and long-term follow-up. The prognosis of a nasal cavity LMS is better than that of an LMS located in the paranasal sinuses.
C d'Adesky; J P Duterme; D Lejeune; R Mehta; A Chaikh; P Castadot; J P Duchateau
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  B-ENT     Volume:  8     ISSN:  1781-782X     ISO Abbreviation:  B-ENT     Publication Date:  2012  
Date Detail:
Created Date:  2012-11-01     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101247842     Medline TA:  B-ENT     Country:  Belgium    
Other Details:
Languages:  eng     Pagination:  213-7     Citation Subset:  IM    
ENT Department, CHU Charleroi, Charleroi, Belgium.
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