Korean J Otorhinolaryngol-Head Neck Surg.  2012 Dec;55(12):798-801. 10.3342/kjorl-hns.2012.55.12.798.

A Case of Sinonasal Adenoid Cystic Carcinoma Presenting as a Huge Nasal Polyp

• Kim SH
• Kim JH

• KMID: 2277736
• DOI: http://doi.org/10.3342/kjorl-hns.2012.55.12.798

Abstract

Adenoid cystic carcinoma (ACC) is the second most common malignancy in sinonasal tract occurring in the minor salivary gland of paranasal sinuses. It is also an aggressive neoplasm that results in a high incidence of both local recurrence and distant metastasis by perineural invasion. A 67-year-old woman had developed progressive nasal obstruction and facial pain for over two years. The imaging study showed a huge polypoid mass in the paranasal sinuses bulging into the nasal cavity without any adjacent bony erosion and orbital extension. The pathology was reported as a cribriform type of ACC. The mass was removed by endonasal endoscopic surgery and "Mini" Caldwell-Luc operation. Considering local recurrence due to perineural lymphatic invasion, postoperative radiation therapy was performed. We discuss here how the combination of endonasal endoscopic surgery and radiotherapy could provide the best chance for disease control in the selected stages of ACC.

Keyword

Adenoid cystic carcinoma; Sinonasal tract

MeSH Terms

Adenoids
Carcinoma, Adenoid Cystic
Facial Pain
Female
Humans
Incidence
Nasal Cavity
Nasal Obstruction
Nasal Polyps
Neoplasm Metastasis
Orbit
Paranasal Sinuses
Recurrence
Salivary Glands, Minor