A rare case of sinonasal glomangiopericytoma post operative accidental diagnosis and managment—A case report
| Autor: | Srinal Mankiwala, Nitin Sharma, Parin Patel, Kaustubh Patel, Shailesh Talati, Mitesh Patel, Aditya Joshipura, Dushyant Mandlik, Kintan Sanghvi, Diva Shah, Ashutosh Vatsyayan, Tulika Dubey, Shubhada Kanhere, Purvi Patel |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Nasal cavity
medicine.medical_specialty Glomangiopericytoma medicine.medical_treatment Endoscopic sinus surgery Article 03 medical and health sciences 0302 clinical medicine History of surgery Rare case medicine Nasal polyps Tumor Haemangiopericytoma business.industry Incidence (epidemiology) General surgery Nasal medicine.disease Septoplasty medicine.anatomical_structure 030220 oncology & carcinogenesis Accidental 030211 gastroenterology & hepatology Surgery business |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| Popis: | Highlights • Glomangiopericytoma is rare sinonasal disease with very good prognosis after surgical excision. • Prognosis is very good after surgical excision. • As most nasal tumors our case was also an accidental diagnosis following endoscopic sinus surgery. and complete clearance was suspicious. • Patent was referred for adjuvant radiation. • Revision surgery was done and wide clearance was established. • Patient was saved from radiation. Introduction Glomangiopericytoma is a rare neoplasm of low malignant potential. It is a rare type of haemangiopericytoma located in nasal cavity. This neoplasm has good prognosis and complete surgical excision is treatment of choice. This case report is representing one such neoplasm. This reporting is done in line with the SCARE criteria (Agha et al., 2018 [1]). Case presentation We presenting a case of 54 year old male patient from upper socioeconomic status who presented at our institution with history of surgery (endoscopic sinus surgery with Septoplasty) 15 days back. A Final histopathology report suggested glomangiopericytoma. Since primary surgery was not done as per oncologic principals, patient was advised for adjuvant radiation. At our institute patient was evaluated again. Revision surgery was done. Patient was discharged next day. Discussion Glomangiopericytoma is a rare neoplasm with incidence of less than 0.5% of all neoplasms of sinonasal cavity. Prognosis is very good after complete surgical excision. It often confuses clinicians with nasal polyps. Here also patient was operated initially considering as benign polyposis outside. Patient was re-operated again to ensure the complete clearance. Conclusion This is the typical case of converting dual modality treatment to single modality with the help of knowledge, communication, transparent team work. This also a rare type of neoplasm and by reporting this rare case we are contributing to data pool of nasal tumors where lack of reporting is major obstacle in the formation of uniform treatment guidelines. |
| Databáze: | OpenAIRE |
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