Synononasal adenocarcinoma

Abstract

Introduction: In the synonasal region adenocarcinomas are uncommon, occupying the third place of neoplasms with respect to all that originate in the nose and sinuses, which equates to a percentage that varies from 10% to 20% of these, with an overall mortality that runs around 60%, predominantly in males after the sixth decade of life having as risk factors the patient's profession, observing large incidences in wood and leather workers.

Objective: Describe a clinical case of synonocarcinoma adenocarcinoma.

Material and methods: Retrospective descriptive study, clinical case presentation.

Results: It describes a rare case that comes due to long-evolving nasal obstruction, yellowish secretion and occasional epistaxis already in recent months, all unilateral through the right nostril, after several months of treatment by different doctors of the treating it as acute sinusitis to repetition and subsequently as nasal polyps, which is the reference diagnosis to the otolaryngology consultation, where the positive diagnosis of synonocarcinoma is established.

Conclusion: In otolaryngology synonasal pathologies account for 20-40% of cases. Tumors at this location grow within the seventic boundaries of the sinuses and can be asymptomatic until they erode and invade neighboring structures. Initial symptoms coincide with those caused by inflammatory diseases in these areas, so diagnosis can be late at a high percentage, compromising survival. The treatment of choice is complete surgical resection, whether open or endoscopic, and complementary local radiation therapy is recommended due to its high relapse rates.