Sinonasal teratocarcinosarcoma is a rare aggressive malignant tumor with a primary setting involving the nasal cavity followed by the ethmoid sinus and maxillary sinus. It accounts for approximately 3% of all head and neck cancers and less than 1% of all tumors. Nasal obstruction, recurrent epistaxis and headache represent the typical clinical presentation. Imaging shows the presence of a mass in the nasal cavity. The treatment usually consists of surgery and adjuvant intensity modulated radiotherapy. The rarity and the variability of the histological features make its diagnosis particularly difficult. In this paper, we report a case of sinonasal teratocarcinosarcoma in a 62-year-old male treated with a multidisciplinary approach. As an alternative to intensity modulated radiotherapy, we proposed proton beam therapy for the first time. The patient benefited from the new and personalized protocol that provided excellent results and few adverse effects. At 45 months follow-up there is no evidence of relapse and the patient is in good health.

Sinonasal teratocarcinosarcoma treated with surgery and proton beam therapy: Clinical, histological aspects and differential diagnosis of a new case / A. Belotti, L. Carpenito, A.M. Bulfamante, A. Maccari, G. Bulfamante. - In: PATHOLOGICA. - ISSN 1591-951X. - 113:6(2021), pp. 469-474. [10.32074/1591-951X-215]

Sinonasal teratocarcinosarcoma treated with surgery and proton beam therapy: Clinical, histological aspects and differential diagnosis of a new case

A. Belotti
Primo
;
L. Carpenito
Secondo
;
A.M. Bulfamante;G. Bulfamante
Ultimo
2021

Abstract

Sinonasal teratocarcinosarcoma is a rare aggressive malignant tumor with a primary setting involving the nasal cavity followed by the ethmoid sinus and maxillary sinus. It accounts for approximately 3% of all head and neck cancers and less than 1% of all tumors. Nasal obstruction, recurrent epistaxis and headache represent the typical clinical presentation. Imaging shows the presence of a mass in the nasal cavity. The treatment usually consists of surgery and adjuvant intensity modulated radiotherapy. The rarity and the variability of the histological features make its diagnosis particularly difficult. In this paper, we report a case of sinonasal teratocarcinosarcoma in a 62-year-old male treated with a multidisciplinary approach. As an alternative to intensity modulated radiotherapy, we proposed proton beam therapy for the first time. The patient benefited from the new and personalized protocol that provided excellent results and few adverse effects. At 45 months follow-up there is no evidence of relapse and the patient is in good health.
Paranasal sinus neoplasm; Proton therapy; Radiotherapy; Teratocarcinosarcoma; Carcinosarcoma; Diagnosis, Differential; Humans; Male; Middle Aged; Neoplasm Recurrence, Local; Teratoma; Nose Neoplasms; Paranasal Sinus Neoplasms; Proton Therapy
Settore MED/08 - Anatomia Patologica
2021
Article (author)
File in questo prodotto:
File Dimensione Formato  
pathol-2021-06-469.pdf

accesso aperto

Tipologia: Publisher's version/PDF
Dimensione 407.25 kB
Formato Adobe PDF
407.25 kB Adobe PDF Visualizza/Apri
Pubblicazioni consigliate

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/899701
Citazioni
  • ???jsp.display-item.citation.pmc??? 3
  • Scopus 5
  • ???jsp.display-item.citation.isi??? 5
social impact