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Teratocarcinosarcoma of the nasal cavity and ethmoid

Published online by Cambridge University Press:  29 June 2007

Hari Shankar Sharma*
Affiliation:
Department of Otorhinolaryngology, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia.
Jafri Malin Abdullah
Affiliation:
Department of Neurosurgery, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia.
Nor Hayati Othman
Affiliation:
Department of Pathology, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia.
Mahayidin Muhamad
Affiliation:
Department of Radiology, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia.
*
Address for correspondence: Dr Hari Shankar Sharma, Department of Otorhinolaryngology, School of Medical Sciences, Universiti Sains Malaysia, 16150 Kota Bharu, Kelantan, Malaysia. Fax: 9-7653370 E-mail: [email protected]

Abstract

Sinonasal teratocarcinosarcoma is very unusual malignant neoplasm histologically consisting of an epithelial element and one or more mesenchymal components. This is a report of teratocarcinosarcoma, in a 74-year-old male, involving the right nasal cavity and ethmoids with intracranial extension. The tumour was totally resected via the craniofacial approach and the patient was given post-operative chemotherapy. Extensive tumour necrosis, rapid growth and local destruction are the prominent features of this tumour. The clinical presentation, pathological features and clinical course of this rare malignancy are discussed with a review of the literature.

Type
Pathology in Focus
Copyright
Copyright © JLO (1984) Limited 1998

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References

Abt, A. B., Toker, C. (1970) Malignant teratoma of the paranasal sinuses. Archives of Pathology 90: 176180.Google ScholarPubMed
Christensen, E. C., Fu, Y. S., Wilson, L. J., Hoover, L. A. (1992) Teratoid carcinosarcoma of the nasal and paranasal cavities: A case report. American Journal of Rhinology 6: 169172.Google Scholar
Devgan, B. K., Devgan, M., Gross, C. W. (1978) Teratocarcinoma of the ethmoid sinus: review of literature plus a new case report. Otolaryngology 86: 689695.CrossRefGoogle Scholar
Dicke, T. E., Gates, G. (1970) Malignant teratoma of the paranasal sinuses. Archives of Otolaryngology 91: 391394.CrossRefGoogle ScholarPubMed
Fernandez, P. L., Cardesa, A., Alos, L., Pinto, J., Traserra, J. (1995) Sinonasal teratocarcinosarcoma: an unusual neoplasm. Pathology Research and Practice 191(2): 166171.CrossRefGoogle ScholarPubMed
Heffner, D. K., Hyams, V. J. (1984) Teratocarcinosarcoma (malignant teratoma?) of the nasal cavity and paranasal sinuses. Cancer 47: 21402154.3.0.CO;2-Y>CrossRefGoogle Scholar
Martinez, R. E., Lopez, A. R., Parra, V. R., Rodriguez, C. B. (1991) Teratocarcinosarcoma sinusal. Acta Otorrinolaringologica (Esp) 42: 363397.Google Scholar
Meinecke, R., Bauer, F., Skouras, J., Moutt, F. (1976) Blastomatous tumours of the respiratory tract. Cancer 38: 818823.3.0.CO;2-1>CrossRefGoogle ScholarPubMed
Patchefsky, A., Sundmaker, W., Marden, P. A. (1968) Malignant teratoma of the ethmoid sinus. Cancer 21: 714721.3.0.CO;2-J>CrossRefGoogle ScholarPubMed
Patterson, S. D., Ballard, R. W. (1980) Nasal blastoma: a light and electron microscopic study. Ultrastructural Pathology 1: 487494.CrossRefGoogle ScholarPubMed
Petrovich, Z., Wollman, J., Acquarelli, M., Barton, R. (1977) Malignant teratoma of nasal cavity. Journal of Surgical Oncology 9: 2128.CrossRefGoogle ScholarPubMed
Rosai, J. (1996) Ackerman's Surgical Pathology 8th Edition. vol I, Mosby, St Louis, p 307.Google Scholar
Shanmugaratnam, K., Kunaratnam, N., Chia, K. B., Chiang, G. S. C., Sinniah, R. (1983) Teratoid carcinosarcoma of the paranasal sinuses. Pathology 15: 413419.CrossRefGoogle ScholarPubMed
Shemen, L., Galantich, P., Murali, R. (1995) Malignant teratocarcinosarcoma of the sphenoid sinus. Otolaryngology-Head and Neck Surgery 112(3): 496500.Google Scholar
Shindo, M. L., Stanley, R. B., Kiyabu, M. T. (1990) Carcinosarcoma of the nasal cavity and paranasal sinuses. Head and Neck 12: 516519.CrossRefGoogle ScholarPubMed