Fibrosarcomas of the paranasal sinuses and skull base are uncommon tumors. Traditionally, “open approach” surgery remains the mainstay for treatment of choice for these tumors.
Methods
A 49-year-old man underwent resection of a right anterior skull base fibrosarcoma using the endoscopic approach.
Results
Close follow-up using both endoscopic and imaging methods over a period of four years has revealed a well-healed skull base with no evidence of recurrence.
Conclusion
Significant resistance exists at present for such a technique to deal with malignant diseases of the head and neck, but results from advanced centers continue to prove that this may be a technique worth mastering and improving on.
Get full access to this article
View all access options for this article.
References
1.
OppenheimerR.W., and FriedmanM.Fibrosarcoma of the maxillary sinus.Ear Nose Throat J67: 193–198, 1988.
2.
KokaV., VericelR., LartigauE.Sarcomas of nasal cavity and paranasal sinuses: chondrosarcoma, osteosarcoma and fibrosarcoma.J Laryngol Otol108: 947–953, 1994.
3.
HeffnerD.K., and GneppD.G.Sinonasal fibrosarcomas, malignant schwannomas, and “Triton” tumors. A clinicopathologic study of 67 cases.Cancer70: 1089–1101, 1992.
4.
FriedmanA.M., ReinmanH.M., and WoodsJ.E.Soft-tissue sarcomas of the head and neck.Am J Surg158: 367–372, 1989.
5.
WaneboH.J., KonessJ.R., MacFarlaneJ.K.Head and neck sarcoma: report of the head and neck sarcoma registry.Head Neck Surg14: 1–7, 1992.
6.
FigueiredoM.T.A., MarquesL.A., and Campos-FilhoN.Soft tissue sarcomas of the head and neck in adults and children: experience at a single institution and review of the literature.Int J Cancer41: 198–200, 1988.
7.
MarkR.J., SercarzJ.A., TranL.Fibrosarcoma of the head and neck. The UCLA experience.Arch Otolaryngol Head Neck Surg117: 396–401, 1991.
8.
MalawerM.M., LinkM.P., and DonalsdonL.L.Sarcoma of bone. In Cancer: Principles and Practice of Oncology.DevitaV.T., HellmanS., and RosenbergS.A. (Eds). Philadelphia: J.B. Lippincott, 1442–1453, 1989.
9.
FuY.S., and PerzinK.H.Nonepithelial tumors of the nasal cavity, paranasal sinuses, and nasopharynx; a clincopathologic study. III. Cartilaginous tumors (chondroma, chondrosarcoma).Cancer34: 453–463, 1974.
10.
FrankenthalerR., AyalaA.G., HartwickR.W., and GoepfertH.Fibrosarcoma of the head and neck.Laryngoscope100: 799–802, 1990.
11.
ConleyJ., StoutA.P., and HealeyW.V.Clinico-pathologic analysis of eighty-four patients with an original diagnosis of fibrosarcoma of the head and neck.Am J Surg114: 564–569, 1967.
