Hostname: page-component-78c5997874-ndw9j Total loading time: 0 Render date: 2024-11-20T04:48:33.072Z Has data issue: false hasContentIssue false

Neurogenic sarcoma of the sinonasal tract

Published online by Cambridge University Press:  29 June 2007

H. B. Hellquist*
Affiliation:
Head and Neck Unit, Department of Pathology, Örebro Medical Centre Hospital, Örebro, Linköping, Sweden.
J. Lundgren
Affiliation:
Department of Otolaryngology, University Hospital, Linköping, Sweden.
*
Henrik B. Hellquist, Head and Neck Unit, Department of Pathology, –Örebro Medical Centre Hospital, S-701 85 Örebro, Sweden. Facsimile +46 19 114390.

Abstract

Five cases of a rare malignant sinonasal tumour of neurofibromatous nature are described. The term neurogenic sarcoma (or malignant peripheral nerve sheath tumour) is advocated instead of malignant schwannoma.

The clinicopathological features of this tumour are described, and the differential diagnosis are discussed. The necessity of using immunohistochemistry in the diagnosis of sinonasal tumours of fibromatous nature is emphasized. The clinical management consists of radical surgery and adjuvant radiotherapy. Clinically there seems to be a high-grade and a low-grade type of sinonasal neurogenic sarcoma, however, this could not be distinguished histologically in the present series.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1991

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Part of this work was presented at the European Rhinologic Society Meeting, London, June 1990.

References

Adkins, J. C., Ravitch, M. M. (1977) The operative management of von Recklinghausen's neurofibromatosis in children, with special reference to lesions of the head and neck. Surgery, 82: 342348.Google ScholarPubMed
Carney, J. A. (1990) Psammomatous melanotic schwannoma. A distinctive, heritable tumor with special associations, includingcardiac myxoma and the Cushing syndrome. American Journal of Surgical Pathology, 14: 206222.CrossRefGoogle ScholarPubMed
Compagno, J., Hyams, V. J. (1976). Nasal polyposis with atypical stroma. Archives of Pathology and Laboratory Medicine, 100: 224226.Google Scholar
Constantino, P. D., Friedman, C. D., Pelzer, H. J. (1989) Neurofibromatosis type II of the head and neck. Archives of Otolaryngology—Head and Neck Surgery, 115: 380383.CrossRefGoogle Scholar
Ducatman, B. S., Scheithauer, B. W., Piepgras, D. G., Reiman, H. M., Iistrup, D. M. (1986) Malignant peripheral nerve sheath tumors. A clinicopathologic study of 120 cases. Cancer, 57: 20062021.3.0.CO;2-6>CrossRefGoogle ScholarPubMed
Enzinger, F. M., Weiss, S. W. (1988) Benign tumors of peripheral nerves. In: Soft tissue tumors. 2nd ed. The C. V. Mosby Co. St Louis, p 719815.Google Scholar
Erlandson, R. A., Woodruff, J. M. (1982) Peripheral nerve sheath tumors: an electron microscopic study of 43 cases. Cancer, 49: 273287.3.0.CO;2-R>CrossRefGoogle ScholarPubMed
Friedmann, I., Osborn, D. A. (1982) Tumours of the nose and sinuses—material and classification. In: Pathology of Granulomas and Neoplasms of the Nose and Paranasal Sinuses. Churchill Livingstone: Edinburgh. p 100102.Google Scholar
Fu, Y.-S., Perzin, K. H. (1976) Nonepithelial tumours of the nasal cavity, paranasal sinuses, and nasopharynx. A clinicopathologic study. VI. Fibrous tissue tumours (Fibroma, fibromatosis, fibrosarcoma). Cancer, 37: 29122928.3.0.CO;2-L>CrossRefGoogle ScholarPubMed
Hellquist, H. B. (1990) Allergy and allergy-like conditions. In: Pathology of the Nose and Paranasal Sinuses. Butterworths: London. p 2432.Google Scholar
Hirose, T., Sumitomo, M., Kudo, E., Hasegawa, T., Teramae, T., Murase, M., Higasa, Y., Ikata, T., Hizawa, K. (1989) Malignant peripheral nerve sheath tumor (MPNST) showing perineural cell differentiation. American Journal of Surgical Pathology, 13: 613620.CrossRefGoogle Scholar
Leslie, M. D., Cheung, K. Y. P. (1987) Malignant transformation of neurofibromas at multiple sites in a case of neurofibromatosis. Postgraduate Medical Journal, 63: 131133.CrossRefGoogle Scholar
Maceri, D. R., Saxon, K. G. (1984) Neurofibromas of the head and neck. Head and Neck Surgery, 6: 842850.CrossRefGoogle ScholarPubMed
Maroun, F. B., Sadler, M., Murray, G. P., Mangan, M., Mathieson, G., Jacob, J. C., Kwan, A. (1986) Primary malignant tumours of the trigeminal nerve. Canadian Journal of Neurological Sciences, 13: 146148.CrossRefGoogle ScholarPubMed
Michaels, L., Davidson, L. A., Papadaki, L., Suvarna, S. K. (1990) Nerve sheath tumour of nose and paranasal sinuses associated with advanced squamous metaplasia of seromucinous glands. Journal of Pathology, 160: 157A (Abstract).Google Scholar
Perzin, K. H., Panyu, H., Wechter, S. (1982) Nonepithelial tumors of the nasal cavity, paranasal sinuses and nasopharynx. A clinicopathologic study. XII: Schwann cell tumors (Neurilemoma, neurofibroma, malignant schwannoma). Cancer, 50: 21932202.3.0.CO;2-0>CrossRefGoogle ScholarPubMed
Purcell, S. M., Dixon, S. L. (1989) Schwannomatosis. An unusual variant of neurofibromatosis or a distinct entity? Archives of Dermatology, 125: 390393.CrossRefGoogle ScholarPubMed
Sörensen, S. A., Mulvihill, J. J., Nielsen, A. (1986) On the natural history of von Recklinghausen neurofibromatosis. In: Neurofibromatosis. (Rubenstein, A. E., Bunge, R. P. and Housman, D. E. Eds.). Annals of the New York Academy of Sciences, 486: p 3037.Google ScholarPubMed
Weir, R. M., Blair, P. A. (1987) Neurofibromatosis of the head and neck. Journal of Louisana State Medical Society, 139: 1517.Google ScholarPubMed
Wick, M. R., Swanson, P. E., Sheithauer, B. W., Manivel, J. C. (1987) Malignant peripheral nerve sheath tumor. An immunohistochemical study of 62 cases. American Journal of Clinical Pathology, 87: 425433.CrossRefGoogle ScholarPubMed
Wick, M. R., Stanley, S. J., Swanson, P. E. (1988) Immunohistochemical diagnosis of sinonasal melanoma, carcinoma, and neuroblastoma with monoclonal antibodies HMB-45 and antisynaptophysin. Archives of Pathology and Laboratory Medicine, 112: 616620.Google ScholarPubMed
Woodruff, J. M., Horten, B. C., Erlandson, R. A. (1990) Pathology of peripheral nerves and paragangliomas. In: Principles and Practice of Surgical Pathology. (Silverberg, S. G., Ed.). 2nd ed., Churchill Livingstone: Edinburgh. p 19972017.Google Scholar