Local Recurrence and Neck Metastasis of Sinonasal Teratocarcinosarcoma: A Case Report and review of Radiotherapy/Chemotherapy Indications

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MOHEBBI ALIREZA; KADIVAR MARYAM; BAKHTI SEPIDEH; SHAMS KOUSHKI EHSAN; Jan Delaram; SHAROUNY HADI

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Journal: CANON JOURNAL OF MEDICINE Year:2019 | Volume:1 | Issue:1 Page(s): 12-15

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Title

Local Recurrence and Neck Metastasis of Sinonasal Teratocarcinosarcoma: A Case Report and review of Radiotherapy/Chemotherapy Indications

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Keywords

Malignant Teratocarcinosarcoma

Carcinosarcoma

Paranasal Sinus Neoplasms

Radiotherapy

Abstract

Introduction: Sinonasal teratoCarcinosarcoma (SNTCS) is an uncommon and very aggressive tumor that often involves the anterior skull base. The histopathologic findings of this neoplasm comprise a highly complex malignant tumor with combined features of Carcinosarcoma and teratoma. Case Presentation: A 34-year-old woman with SNTCS of the nasopharynx who had endoscopically operated twice (36 and 18 months ago) and received 33 fractions (66 Gy) of Radiotherapy after the second operation, developed left neck metastasis about nine and half month after the second operation. Functional neck dissection was performed for her about twelve months later. The patient received 27 fractions (54 Gy) of Radiotherapy again. She had been well during her follow-ups. Conclusion: According to the medical literature, patients who were treated with surgery and adjuvant chemoradiation showed lower recurrence and better survival rate than those who were treated with surgery and Radiotherapy, however, the number of patients who were treated with surgery and chemoRadiotherapy was too small. Thus, radical resection plus adjuvant Radiotherapy is currently the most acceptable treatment.

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APA: Copy

MOHEBBI, ALIREZA, KADIVAR, MARYAM, BAKHTI, SEPIDEH, SHAMS KOUSHKI, EHSAN, Jan, Delaram, & SHAROUNY, HADI. (2019). Local Recurrence and Neck Metastasis of Sinonasal Teratocarcinosarcoma: A Case Report and review of Radiotherapy/Chemotherapy Indications. CANON JOURNAL OF MEDICINE, 1(1), 12-15. SID. https://sid.ir/paper/777049/en

Vancouver: Copy

MOHEBBI ALIREZA, KADIVAR MARYAM, BAKHTI SEPIDEH, SHAMS KOUSHKI EHSAN, Jan Delaram, SHAROUNY HADI. Local Recurrence and Neck Metastasis of Sinonasal Teratocarcinosarcoma: A Case Report and review of Radiotherapy/Chemotherapy Indications. CANON JOURNAL OF MEDICINE[Internet]. 2019;1(1):12-15. Available from: https://sid.ir/paper/777049/en

IEEE: Copy

ALIREZA MOHEBBI, MARYAM KADIVAR, SEPIDEH BAKHTI, EHSAN SHAMS KOUSHKI, Delaram Jan, and HADI SHAROUNY, “Local Recurrence and Neck Metastasis of Sinonasal Teratocarcinosarcoma: A Case Report and review of Radiotherapy/Chemotherapy Indications,” CANON JOURNAL OF MEDICINE, vol. 1, no. 1, pp. 12–15, 2019, [Online]. Available: https://sid.ir/paper/777049/en

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