Sinonasal Adenoid Cyst Carcinoma Resected Under Endoscopic Radiofrequency Coblation (
DOI:
https://doi.org/10.12970/2308-7978.2020.08.01Keywords:
Adenoid cystic carcinoma, Sinonasal adenoid cystic carcinoma, SNACC, Sinonasal cancer, Radiofrequency coblation, Paranasal sinus neoplasm, Endoscopic surgery.Abstract
Introduction: Sinonasal cancer is very rare and accounts for under 1% of all malignancies of which sinonasal adenoid cystic carcinoma is about 5%. Misleading symptomatology which overlaps with rhinosinusitis contributes to the delay of diagnosis. We present a case of an adenoid cystic carcinoma arising from the left inferior turbinate. The patient received endoscopic surgical treatment with the application of radiofrequency coblation in Clarós Clinic at the beginning of 2019 and remains followed up with no sign of recurrence. Afterward, we review the literature on the subject. Surgery with or without complementary radiotherapy provides the best outcomes for the majority of patients. Recently, the endoscopic approach is commonly applied with equal or better results to the open approach. Radiofrequency coblation might be used to reduce blood loss. Lifelong surveillance is obligatory as very late recurrences are common.References
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