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Minimally invasive endoscopic techniques for treating large, benign processes of the nose, paranasal sinus, and pterygomaxillary and infratemporal fossae: solitary fibrous tumour

Published online by Cambridge University Press:  11 April 2008

A Jurado-Ramos ,
F Ropero Romero ,
E Cantillo Baños  and
J Salas Molina
A Jurado-Ramos*
Affiliation:
Otolaryngology and Head and Neck Surgery Service, Reina Sofía University Hospital, Spain
F Ropero Romero
Affiliation:
Otolaryngology and Head and Neck Surgery Service, Reina Sofía University Hospital, Spain
E Cantillo Baños
Affiliation:
Otolaryngology and Head and Neck Surgery Service, Reina Sofía University Hospital, Spain
J Salas Molina
Affiliation:
Pathology Service, Reina Sofía University Hospital, Department of Medicine (Dermatology, Medicine and Otolaryngology), School of Medicine, University of Córdoba, Spain
*
Address for correspondence: Dr Alfredo Jurado-Ramos, c/ Profesor Hernández Pacheco 18, ES-14012 Córdoba, Spain. E-mail: alfredojuradoramos@hotmail.com
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Abstract

Objectives:

We report an extremely rare case of a large solitary fibroma of the paranasal sinus, which we treated by sinonasal endoscopic surgery. We describe its clinical and histopathological features, and we report the endoscopic technique used to deal with such a large sinonasal mass (penetrating the pterygomaxillary and infratemporal fossae); we also offer a brief survey of the literature.

Case report:

A woman presented with an approximately one-year history of nasal obstruction. Nasal endoscopy revealed an irregularly shaped, friable, reddish mass that occupied the whole of the right nasal fossa. Magnetic resonance imaging of the paranasal sinuses revealed a large mass that occupied the anterior and posterior ethmoids and the maxillary and sphenoid sinuses, displacing the septum and penetrating the pterygomaxillary fossa, having destroyed the lateral wall of the right nasal fossa. The tumour was resected by means of sinonasal endoscopic surgery; an endoscopic medial maxillectomy with extension to the pterygomaxillary and infratemporal regions was performed. Histological analysis confirmed the diagnosis of solitary fibrous tumour. During follow up, we performed regular nasal endoscopies, as well as computed tomography scans one and six months post-operatively.

Conclusions:

Endoscopic techniques are currently the approach of choice for the treatment of such tumours of the sinonasal cavity and pterygomaxillary and infratemporal regions. The size of the lesion did not contraindicate endoscopic sinonasal surgery as a curative treatment.

Keywords

MaxillaNeoplasmFibrous TumourEndoscopyOtorhinolaryngologic Surgical Procedures

Information

Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 123 , Issue 4 , April 2009 , pp. 457 - 461
Copyright
Copyright © JLO (1984) Limited 2008

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References

1 Klemperer, P, Rabin, CB. Primary neoplasms of the pleura. A report of five cases. Arch Pathol 1931;11:385–412Google Scholar
2 Witkin, GB, Rosai, J. Solitary fibrous tumour of the mediastinum. A report of 14 cases. Am J Surg Pathol 1989;13:547–57CrossRefGoogle ScholarPubMed
3 Nielsen, GP, O'Connell, JX, Dickersin, GR, Rosenberg, AE. Solitary fibrous tumour of soft tissue: a report of 15 cases, including 5 malignant examples with light microscopic, inmunohistochemical and ultrastructural data. Mod Pathol 1997;10:1028–37Google Scholar
4 O'Donovan, DA, Bilbao, JM, Fazi, M, Antonyshyn, OM. Solitary fibrous tumour of the orbit. J Craniofac Surg 2002;13:641–4CrossRefGoogle Scholar
5 Parwani, AV, Galindo, R, Steinberg, DM, Zeiger, MA, Westra, WH, Ali, SZ. Solitary fibrous tumour of the thyroid: cytopathologic findings and differential diagnosis. Diagn Cytopathol 2003;28:213–16CrossRefGoogle Scholar
6 Witkin, GB, Rosai, J. Solitary fibrous tumour of the upper respiratory tract: a report of six cases. Am J Surg Pathol 1991;15:842–8CrossRefGoogle ScholarPubMed
7 Rayappa, CS, McArthur, PD, Gangopadhyay, K, Antonius, JI. Solitary fibrous tumour of the infratemporal fossa. J Laryngol Otol 1996;110:594–7CrossRefGoogle ScholarPubMed
8 Corina, L, Volante, M, Carconi, M, Contucci, AM. An unusual solitary fibrous tumour after sphenoethmoidectomy. Otolaryngol Head Neck Surg 2006;134:1063–5CrossRefGoogle Scholar
9 Fletcher, CDM. Diagnostic Histopathology of Tumours, 2nd edn. London: Churchill Livingstone, 2002;1496–7Google Scholar
10 Alobid, I, Alos, L, Blanch, JL, Benitez, P, Bernal-Sprekelsen, M, Mullol, J. Solitary fibrous tumour of the nasal cavity and paranasal sinuses. Acta Otolaryngol 2003;123:71–4CrossRefGoogle ScholarPubMed
11 Pasquini, E, Cantaroni, C, Salfi, N, Tamburini, G, Marchi, C, Sciarretta, V. Endoscopic treatment of an ethmoidal solitary fibrous tumour. J Laryngol Otol 2003;117:889–91CrossRefGoogle ScholarPubMed
12 Abe, T, Murakami, A, Inove, T, Ohde, S, Yamaguchi, T, Watanabe, K. Solitary fibrous tumour arising in the sphenoethmoidal recess: a case report and review of the literature. Auris Nasus Larynx 2005;32:285–9CrossRefGoogle ScholarPubMed
13 Zukerberg, LR, Rosenberg, AE, Randolph, G, Pilch, BZ, Goodman, ML. Solitary fibrous tumour of the nasal cavity and paranasal sinuses. Am J Surg Pathol 1991;15:126–30CrossRefGoogle ScholarPubMed
14 Martinez, V, Jimenez, ML, Cuatrecasas, M, Jürgens, A, de Amesti, C, Orus, C et al. Fibroma Solitario nasosinusal tumour [in Spanish]. Acta Otorrinolaringol Esp 1995;46:323–6Google Scholar
15 Fukunaga, M, Ushigome, S, Nomura, K, Ishikawa, E. Solitary fibrous tumour of the nasal cavity and orbit. Pathol Int 1995;45:952–7CrossRefGoogle ScholarPubMed
16 Kim, TA, Brunberg, JA, Pearson, JP, Ross, DA. Solitary fibrous tumour of the paranasal sinuses: CT and MR appearance. AJNR Am J Neuroradiol 1996;17:1767–72Google Scholar
17 Stringfellow, HF, Khan, IA, Sissons, MC. Solitary fibrous tumour arising in the nasal cavity: report of a case. J Laryngol Otol 1996;110:468–70CrossRefGoogle ScholarPubMed
18 Mentzel, T, Bainbridge, TC, Katenkamp, D. Solitary fibrous tumour: clinicopathological, inmunohistochemical and ultrastructural analysis of 2 cases arising in soft tissues, nasal cavity and nasopharynx, urinary bladder and prostate. Virchows Arch 1997;430:445–53CrossRefGoogle Scholar
19 Kessler, A, Lapinsky, J, Berenholz, L, Sarfaty, SM, Segal, S. Solitary fibrous tumour of the nasal cavity. Otolaryngol Head Neck Surg 1999;121:826–8CrossRefGoogle Scholar
20 Brunnemann, RB, Ro, JY, Ordonez, NG, Mooney, J, El-Naggar, A, Ayala, AG. Extrapleural solitary fibrous tumour: a clinicopathologic study of 24 cases. Mod Pathol 1999;12:1034–42Google ScholarPubMed
21 Kohmura, T, Nakashima, T, Hasegawa, Y, Matsuura, H. Solitary fibrous tumour of the paranasal sinuses. Eur Arch Otorhinolaryngol 1999;256:233–6CrossRefGoogle Scholar
22 Morimitsu, Y, Nakajima, M, Hisaoka, M, Hashimoto, H. Extrapleural solitary fibrous tumour: clinicopathologic study of 17 cases and molecular analysis of the p53 pathway. APMIS 2000;108:617–25CrossRefGoogle ScholarPubMed
23 Eloy, PH, Nollevaux, MC, Watelet, JB, Van-Damme, JP, Collet, ST, Bertrand, B. Endonasal endoscopic resection of an ethmoidal solitary fibrous tumour. Eur Arch Otorhinolaryngol 2006;263:833–7CrossRefGoogle Scholar
24 Morales-Cadena, M, Zubiaur, FM, Alvarez, R, Madrigal, J, Zarate-Osorno, A. Solitary fibrous tumour of the nasal cavity and paranasal sinuses. Otorhinolaryngol Head Neck Surg 2006;135:980–2CrossRefGoogle Scholar
25 Vallat-Decouvelaere, AV, Dry, SM, Fletcher, CDM. Atypical and malignant solitary fibrous tumors in extrathoracic locations: evidence of their comparability to intra-thoracic tumors. Am J Surg Pathol 1998;22:1501–11CrossRefGoogle ScholarPubMed