Alfaro-Iraheta FA, López-Chavira A, Sánchez-Santana JR, Gallardo-Ollervides FJ, Juárez-Ferrer JCM, Romo-Magdaleno JA, Rodríguez-Montes C, Gámez-Sala R

Language: Spanish
References: 0
Page: 235-241
PDF size: 199.28 Kb.

ABSTRACT

Primary head and neck Ewing’s sarcoma is rare, it represents approximately 2-3% of all Ewing’s sarcomas; most occur in the mandible and maxilla. Ewing’s sarcoma arising in the soft tissue, nasal cavity or sinus is the rarest type of Ewing’s sarcoma. The treatment of choice for these tumors includes surgical resection plus radiation therapy. We report the case of a 39-year-old female, with evolution of two months with purulent rhinorrhea, nasal stench, nasal obstruction and intermittent epistaxis, physical examination showed obstruction of both nostrils by polypoid tissue, tomography with suggestive image of paranasal sinus polyposis. After functional endoscopic sinus surgery pathology study reported primitive neuroectodermal tumor (Ewing’s sarcoma) of nasal cavity. A month after the surgery, patient presented obstructive symptoms from both nostrils. Physical examination showed tumor growth involving both nostrils; therefore, endoscopic sinus surgery was performed with septectomy and Ewing’s sarcoma resection of nasal cavity, pathology study confirmed again the diagnosis and patient received 25 adjuvant radiotherapy sessions.