The patient, a 68-year-old male, underwent surgery for nasal polyps 1.5 months ago at a local hospital in a southwestern province. The postoperative pathology was returned as hypofractionated squamous cell carcinoma. The tumor was not effectively delayed to recur after the surgery, and soon the nasal cavity was full of tumors, which blocked the nasal cavity. The tumor soon filled the nasal cavity and blocked the nasal cavity. He came to our office for further treatment. Further bleeding occurred after admission. Surgery was scheduled as soon as possible after the nasal cavity was filled.
The low-differentiated squamous cell carcinoma is highly malignant, aggressive and difficult to control. It should be treated with a combination of surgery, radiotherapy and chemotherapy. After reviewing the film, we found that the patient was in good general condition. The tumor was located in the left maxillary sinus and invaded the ipsilateral septal sinus and orbital wall. We believed that the tumor should be completely removed early and followed by radiotherapy and chemotherapy in a timely manner because of its rapid growth and continuous bleeding.
We performed a transnasal endoscopic resection of the tumor in the lateral wall of the nasal cavity, along with a lacrimal sac, and found a tumor invasion in the wall of the lacrimal sac. The patient recovered quickly after surgery. Further radiotherapy was received. Figure 1 shows the preoperative impact of the patient’s sinus tumor. Although the patient received a localized tumor resection 1.5 months ago, the tumor was fully grown and it was not evident that surgical treatment had been performed. Figure 2: Intraoperatively, complete resection of the maxillary sinus as well as the septal sinus and periorbital tumor is seen. Below, see postoperative MRI review with complete removal of the tumor.