Frontal sinus carcinoma

Authors

  • Filipe Nunes Rodrigues Interno de formação específica de ORL - Serviço de ORL/CMF do Hospital de São Teotónio - CHTV
  • Vera Soares Assistente Hospitalar do Serviço de ORL - Serviço de ORL/CMF do Hospital de São Teotónio - CHTV
  • Canas Marques Chefe de Serviço de CMF - Serviço de ORL/CMF do Hospital de São Teotónio - CHTV
  • Raul Amaral Assistente Graduado de ORL - Serviço de ORL/CMF do Hospital de São Teotónio - CHTV
  • Magda Rocha Interna de Formação Específicifica de ORL - Serviço de ORL/CMF do Hospital de São Teotónio - CHTV
  • José Marques dos Santos Diretor do Serviço de ORL - Serviço de ORL/CMF do Hospital de São Teotónio - CHTV

DOI:

https://doi.org/10.34631/sporl.442

Keywords:

Carcinoma, Frontal sinus, Microvascularized free flap

Abstract

Frontal sinus carcinoma is a rare and locally aggressive tumour. It is often diagnosed in an advanced stage of the disease. This fact combined with the anatomical complexity of the region makes the therapeutic approach with curative intent complex and challenging. 

This is a case report of a 55 year old male diagnosed with frontal sinus carcinoma extending into the the upper quadrants of the orbit and the dura mater. The patient underwent a broad tumural resection and reconstruction with duraplasty, cranioplasty and a microvascularized free flap, followed by chemoradiotherapy. 

The 1 year postoperative follow-up showed no clinical or radiological signs of local recurrence or distant metastases.

References

Robin PE, Powell DJ, Stansbie JM. Carcinoma of the nasal cavity and paranasal sinuses: Incidence and presentation of different histological types. Clin Otolaryngol Allied Sci. 1979; 4:431-456.

Madana J, Yolmo D, Gopalakrishnan S, Saxena SK. Primary frontal sinus carcinoma with extradural anterior cranial fossa involvement. Ear Nose Throat J. 2011 Oct;90(10):4-7.

Frazell EL, Lewis JS. Cancer of nasal cavity and accessory sinuses. A report of the management of 416 patients. Cancer. 1963; 16:1293-301.

Grau C, Jakobsen MH, Harbo G, et al. Sino-nasal Cancer in Denmark 1982-1999- A Nationwide Survey. Acta Oncol. 2001; 40:19-23.

Gerlinger I, Gobel G, Toth E, Szanyi I, Weninger C. Primary carcinoma of the frontal sinus: a case report. Eur Arch Otorhinolaryngol. 2008; 265:593-97.

Gurdeep SM, Narayanan GI, Jatin S. Frontal sinus cancer resection and reconstruction.J R Soc Med Sh Rep. 2011;2:2.

Gourin CG, Terris D. The Frontal Sinus malignancies. In: Kountakis SE, Senior BE, Draf W (Eds.) The frontal sinus; Springer-Verlag Berlin Heidelberg, 2005: pp165-78.

American Joint Committee on Cancer. Nasal cavity and paranasal sinuses. In: AJCC Cancer Staging Manual. 7th ed. Springer, 2010: pp 69−73.

Hosokawa S, Okamura J, Sakai N, Mineta H. Primary Spindle Cell Carcinoma of the Frontal Sinus. J Oral Maxillofac Surg. 2012 Nov;70(11):674-78.

Beas RA, Schlosser RJ, Woodworth BA et al. Management of paranasal sinus malignancy. Curr Treat Options Oncol. 2005 Jan;6(1):3-18.

Downloads

How to Cite

Nunes Rodrigues, F., Soares, V., Marques, C., Amaral, R., Rocha, M., & Marques dos Santos, J. (2014). Frontal sinus carcinoma. Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery, 52(4), 243–246. https://doi.org/10.34631/sporl.442

Issue

Vol. 52 No. 4 (2014): Dezembro

Section

Case Report