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Malika EO, Ben Njima M, Mouna B, Zeineb N, Wassim K, Badreddine S, Mohamed A. Chondrosarcoma of the Nasal Cavity and Paranasal Sinuses: A Rare Entity. Ear Nose Throat J 2024:1455613241249028. [PMID: 38655844 DOI: 10.1177/01455613241249028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/26/2024] Open
Abstract
Background: Chondrosarcomas are slow-growing malignant tumors that originate in cartilaginous structures. They typically manifest in the head and neck region, with a preference for the maxillofacial skeleton, particularly the mandible and maxilla. However, chondrosarcoma of the sinonasal tract is exceptionally rare, and only few cases have been reported. Case Presentation: This report details the case of a 43-year-old woman who incidentally discovered chondrosarcoma in the maxillary and ethmoid sinuses with nasal extension. Subsequently, the patient underwent surgery via a paralatero-nasal approach with adjuvant radiotherapy. The aim of this study was to describe the clinical findings, management, and outcome of sinonasal tract chondrosarcoma. Conclusions: The primary treatment for chondrosarcomas remains surgery, with a transnasal endoscopic approach offering a viable option for complete resection in select cases.
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Affiliation(s)
- El Omri Malika
- Department of Ear, Nose, Throat and Head and Neck Surgery, Farhat Hached University Hospital, Sousse, Tunisia
| | - Marwa Ben Njima
- Department of Ear, Nose, Throat and Head and Neck Surgery, Farhat Hached University Hospital, Sousse, Tunisia
| | - Bellakhdher Mouna
- Department of Ear, Nose, Throat and Head and Neck Surgery, Farhat Hached University Hospital, Sousse, Tunisia
| | - Nfikha Zeineb
- Pathology Department, Farhat Hached University Hospital, Sousse, Tunisia
| | - Kemani Wassim
- Department of Ear, Nose, Throat and Head and Neck Surgery, Farhat Hached University Hospital, Sousse, Tunisia
| | - Sriha Badreddine
- Pathology Department, Farhat Hached University Hospital, Sousse, Tunisia
| | - Abdelkefi Mohamed
- Department of Ear, Nose, Throat and Head and Neck Surgery, Farhat Hached University Hospital, Sousse, Tunisia
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El Omri M, Mouna B, Safa J, Zeineb N, Monia G, Jihene H, Wassim K. Congenital Facial Infiltrating Lipomatosis: A Rare Cause of Facial Asymmetry in Infants. Ear Nose Throat J 2024:1455613241241869. [PMID: 38561952 DOI: 10.1177/01455613241241869] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/04/2024] Open
Abstract
Congenital facial infiltrating lipomatosis (CFIL) is a rare condition that typically affects the trunk and limbs, but can also occur in the face. Managing CFIL is a significant challenge due to its diffuse involvement in important facial structures. This case report aims to describe a rare form of lipomatosis and discuss the clinical and therapeutic aspects of this entity. The patient was a 5-year-old girl who was admitted to our department due to a right paralateronasal swelling that had been present for 5 months. During the physical examination, a swelling of the right nasolabial was observed. A computed tomography scan of the facial bone revealed an extra bony soft tissue mass near the vestibule of the right nostril in contact with the frontal process of the maxillary bone and the anterior wall of the right maxillary sinus. The patient underwent excision under general anesthesia. The histological report indicated congenital focal lipomatosis. There was no recurrence of swelling a year after initial surgery. Facial infiltrating lipomatosis is a rare congenital disorder in which mature lipocytes invade adjacent tissue. Due to its diffuse infiltration and involvement of important facial structures, complete surgical excision is often impossible. Specific management of this condition requires insight into its pathogenesis as surgical removal of the mass is usually unsuccessful.
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Affiliation(s)
- Malika El Omri
- Department of Ear, Nose, Throat and Head and Neck Surgery, Farhat Hached University Hospital, Sousse, Tunisia
| | - Belakhdher Mouna
- Department of Ear, Nose, Throat and Head and Neck Surgery, Farhat Hached University Hospital, Sousse, Tunisia
| | - Jemlii Safa
- Department of Ear, Nose, Throat and Head and Neck Surgery, Farhat Hached University Hospital, Sousse, Tunisia
| | - Nfikha Zeineb
- Pathology Department, Farhat Hached University Hospital, Sousse, Tunisia
| | - Ghammem Monia
- Department of Ear, Nose, Throat and Head and Neck Surgery, Farhat Hached University Hospital, Sousse, Tunisia
| | - Houas Jihene
- Department of Ear, Nose, Throat and Head and Neck Surgery, Farhat Hached University Hospital, Sousse, Tunisia
| | - Kermani Wassim
- Department of Ear, Nose, Throat and Head and Neck Surgery, Farhat Hached University Hospital, Sousse, Tunisia
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Kmira Z, Ahmed G, Wided C, Wided M, Zeineb N, Nihed A, Yosra BY, Regaieg H, Nejia B, Abderrahim K. A challenging diagnosis of plasmablastic lymphoma: importance of integrating morpholgy immunohistochemistry and flow cytometry findings (case report). Pan Afr Med J 2023; 45:158. [PMID: 37869229 PMCID: PMC10589407 DOI: 10.11604/pamj.2023.45.158.39896] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2023] [Accepted: 08/01/2023] [Indexed: 10/24/2023] Open
Abstract
Plasmablastic lymphoma (PBL) is a rare clinicopathological entity that still raises many diagnostic and management difficulties, particularly due to the overlap between plasmablastic lymphomas and myeloma features. We report a clinical presentation of PBL affecting bone marrow in a 43-year-old patient who was admitted for B symptoms, hepatosplenomegaly, and bicytopenia investigation. Based on these findings, acute leukemia was suspected. Bone marrow morphology immunohistochemistry and flow cytometry contributed to establishing the diagnosis of medullary PBL. The patient deteriorated and died due to septic shock. This pathology requires collaboration between clinicians, pathologists, and biologists to confirm the diagnosis early. Nevertheless, a delayed diagnosis may contribute to worsening the prognosis particularly due to advanced stage consultation. Our reported case illustrates a rare clinical presentation affecting bone marrow. In our context, a confrontation between flow cytometry and immunohistochemistry was of interest as it helped to detect the immunological features of this neoplasm.
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Affiliation(s)
- Zahra Kmira
- Department of Clinical Hematology, Farhat Hached University Hospital, Sousse, 4081, Tunisia
| | - Gereisha Ahmed
- Department of Cytology, Farhat Hached University Hospital, Sousse, 4081, Tunisia
| | - Cherif Wided
- Department of Clinical Hematology, Farhat Hached University Hospital, Sousse, 4081, Tunisia
| | - Moatamri Wided
- Department of Cytology, Farhat Hached University Hospital, Sousse, 4081, Tunisia
| | - Nfikha Zeineb
- Department of Pathology, Farhat Hached University Hospital, Sousse, 4081, Tunisia
| | - Abdessaied Nihed
- Department of Pathology, Farhat Hached University Hospital, Sousse, 4081, Tunisia
| | - Ben Youssef Yosra
- Department of Clinical Hematology, Farhat Hached University Hospital, Sousse, 4081, Tunisia
| | - Haifa Regaieg
- Department of Clinical Hematology, Farhat Hached University Hospital, Sousse, 4081, Tunisia
| | - Brahem Nejia
- Department of Cytology, Farhat Hached University Hospital, Sousse, 4081, Tunisia
| | - Khelif Abderrahim
- Department of Clinical Hematology, Farhat Hached University Hospital, Sousse, 4081, Tunisia
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khissal B, Meriem B, Zeineb N, Imene A, Dorra A, Lotfi K. PO-1459 Patients’ feelings concerning the approach of sexuality by the radiation oncologist. Radiother Oncol 2022. [DOI: 10.1016/s0167-8140(22)03423-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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