A Rare Case of Sinonasal Ewing Sarcoma With Radiologic-Pathologic Correlation.
| Autor: | Worthy J; Medicine, Ross University School of Medicine, Bridgetown, BRB., Ganguli MP; Medicine, Ross University School of Medicine, Bridgetown, BRB., Kile MR; Medicine, Ross University School of Medicine, Bridgetown, BRB., Satei AM; Diagnostic Radiology, Trinity Health Oakland Hospital, Pontiac, USA.; Diagnostic Radiology, Wayne State University School of Medicine, Detroit, USA., Mills ND; Diagnostic Radiology, Trinity Health Oakland Hospital, Pontiac, USA.; Diagnostic Radiology, Wayne State University School of Medicine, Detroit, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2023 Aug 18; Vol. 15 (8), pp. e43708. Date of Electronic Publication: 2023 Aug 18 (Print Publication: 2023). |
| DOI: | 10.7759/cureus.43708 |
| Abstrakt: | An 89-year-old male presented with syncope and worsening difficulty in breathing through the left nostril. Computed tomography demonstrated a tumor in the anterior ethmoid air cells and maxillary sinus, which extended into the frontal lobe. Magnetic resonance imaging similarly demonstrated an aggressive lesion. This mass was difficult to differentiate from more commonly seen lesions at this location such as an esthesioneuroblastoma or nasopharyngeal carcinoma. Direct visualization, biopsy, and subsequent pathologic analysis eventually confirmed the diagnosis of malignant Ewing sarcoma (EWS). Our case explores the radiological findings of EWS originating from the ethmoid sinus, compares EWS with other common carcinomas in the same location, confirms the diagnosis through pathological correlation, and investigates the prognosis and treatment of these lesions. This case highlights the importance of a multidisciplinary approach to diagnose EWS when it occurs in an atypical location. The clinical team relied on input from the radiology, surgery, ENT, neurology, and pathology departments to make an accurate diagnosis and plan treatment for this aggressive tumor. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2023, Worthy et al.) |
| Databáze: | MEDLINE |
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