Sinonasal undifferentiated carcinoma (SNUC) is a rare sub type of sinonasal carcinoma. It is considered a highly aggressive neoplasm arising in the paranasal sinuses. It has been characterised as a distinct pathologic entity.
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Clinical presentation
These tumours tend to be rather advanced at presentation.
Radiographic features
Tumours usually tend to be large at presentation, with poorly defined margins. Most arise within the ethmoid sinuses and superior nasal cavity. Aggressive features such as bone destruction may be seen.
CT
CECT: tumours tend to enhance in varying degrees.
MRI
Reported signal characteristics include 4
T1: tend to be isointense to muscle
T2: iso- to hyperintense on T2-weighted images in five patients
T1 (C+) Gd: tend to have heterogeneous enhancement
Treatment and prognosis
The prognosis for patients with SNUC is considered poor. Most centres may opt for varying degrees of craniofacial resection combined with adjuvant radiotherapy +/- chemotherapy.
Differential diagnosis
On imaging, it is almost impossible to differentiate from other tumours in this region with the possible exception of sinonasal mucosal melanoma 4.
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