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Neuroendocrine carcinoma of the ethmoid sinuses treated with radiotherapy alone

Published online by Cambridge University Press:  24 July 2012

P W Flavahan ,
J Keir  and
V Srinivasan
P W Flavahan*
Affiliation:
Ophthalmology Department, Gartnavel General Hospital, Glasgow, Scotland, UK
J Keir
Affiliation:
ENT Department, Arrowe Park Hospital, Upton, England, UK
V Srinivasan
Affiliation:
ENT Department, Arrowe Park Hospital, Upton, England, UK
*
Address for correspondence: Dr P W Flavahan, Gartnavel General Hospital, Glasgow G12 0YN, Scotland, UK E-mail: paulflavahan@doctors.net.uk
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Abstract

Objective:

We present the first report of a case of neuroendocrine carcinoma of the paranasal sinuses treated successfully with radiotherapy alone.

Method:

A case report and literature review are presented.

Results:

Fewer than 50 cases of paranasal sinus neuroendocrine carcinoma have been reported. We present an 82-year-old man referred with recurrent epistaxis. He was investigated by biopsy, computed tomography and magnetic resonance imaging, and was found to have a rare neuroendocrine carcinoma. He declined any surgery or chemotherapy but consented to radiotherapy. Thirty months later, he remained clinically free from cancer.

Conclusion:

There is no consensus for the management of paranasal sinus neuroendocrine carcinoma. Most cases are treated with surgery with or without chemoradiotherapy. This case shows that radiotherapy alone may be a viable treatment option for some cases.

Keywords

Neuroendocrine CarcinomaParanasal SinusesPrognosisRadiotherapy
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 126 , Issue 10 , October 2012 , pp. 1066 - 1068
Copyright
Copyright © JLO (1984) Limited 2012

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