2023 · REPORTS

A Combined Surgical Approach for the Treatment of a Sino-Naso-Orbital Glomangiopericytoma

Labouchere, Ania, De Sandre, Cecile, Broome, Martin, Reinhard, Antoine, Louvrier, Aurelien

Journal
REPORTS
Année
2023
Volume
6
Numéro
1
Article
7
Mois
MAR
DOI
10.3390/reports6010007

Abstract

Glomangiopericytomas are a rare type of sinonasal tumors with high relapse rates. Endoscopic sinus surgery is the classical technique to remove such tumors. Here we report a case of sinonasal glomangiopericytoma with orbital extension, infrequently described in the literature. A 50 year-old woman was referred to our hospital because of a right paranasal painless swelling, which appeared 9 months ago and was slowly increasing in size since her first visit. A Magnetic Resonance Imaging (MRI) revealed a tumor (18 x 25 x 37 mm) centered on the right ethmoidal cells, with adjacent nasal bone erosion and a right orbital invasion. The tumor was removed with a combined surgical approach (endoscopic and trans-sinusal frontal approach) after pre-surgical embolization. Based on the results of the histopathological examination, the diagnosis of a glomangiopericytoma was confirmed. The patient was discharged after one week, and an uneventful long-term follow-up.

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