Sinonasal adenocarcinoma

Case contributed by Chia Wei Oh
Diagnosis almost certain

Presentation

Right sided nasal obstruction. Previous woodworker

Patient Data

Age: 70
Gender: Male
mri

Large right nasal cavity mass extending through cribriform plate into inferior right and left frontal lobe with surrounding vasogenic edema. It enhances markedly with contrast. Also noted significant mass effect with displacement of right frontal horn.

Case Discussion

Patient went on to have bifrontal craniotomy and excision of tumor with anterior cranial fossa repair. Histology showed sinonasal adenocarcinoma (intestinal type and colonic subtype) 

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