Papoian Vardan, Yarlagadda Bharat B, Devaiah Anand K
Department of Otolaryngology-Head and Neck Surgery, Boston Medical Center, Boston, MA.
Am J Otolaryngol. 2014 Mar-Apr;35(2):254-6. doi: 10.1016/j.amjoto.2013.10.011. Epub 2013 Nov 7.
Leiomyosarcoma is a rare tumor encountered in the sinus and skull base, and can be difficult to control. We present a case of an 83 year old female with a recurrent sinonasal leiomyosarcoma. The tumor exhibited variable growth rates of recurrences in non-contiguous sites despite having obtained clear surgical margins and use of adjuvant therapy. This case illustrates unusual characteristics of this rare tumor that are important for clinicians to know. Patient demographics, presenting symptoms, risk factors, treatment options, and prognosis are also reviewed.
平滑肌肉瘤是一种罕见的鼻窦和颅底肿瘤，难以控制。我们报告一例83岁复发性鼻窦平滑肌肉瘤女性患者。尽管手术切缘清晰并采用了辅助治疗，但肿瘤在非连续部位的复发呈现出不同的生长速度。该病例说明了这种罕见肿瘤的特殊特征，临床医生了解这些特征很重要。我们还回顾了患者的人口统计学信息、症状表现、危险因素、治疗选择和预后情况。
