ADENOSQUAMOUS CARCINOMA OF THE NASAL SEPTUM: A RARE VARIANT.
WONG Kim Yew Richard1, Eyzawiah HASSAN2, Azreen Zaira ABU BAKAR3, Hafeza AHMAD3, Shamim Rahman S.M.A ABDUL RASHEED1, Asmawiza AWANG3, Irfan MOHAMAD4.
1Department of Otorhinolaryngology, Head & Neck Surgery, Kulliyah of Medicine, International Islamic University Malaysia, 25200 Kuantan, Pahang, Malaysia.
2Department of Otorhinolaryngology, Head & Neck Surgery, Faculty of Medicine & Health Sciences, Universiti Sains Islam Malaysia, 71800 Nilai, Negeri Sembilan, Malaysia.
3Department of Otorhinolaryngology, Head & Neck Surgery, Hospital Kuala Lumpur, 50586 Kuala Lumpur, Malaysia.
4Department of Otorhinolaryngology, Head & Neck Surgery, School of Medical Sciences, Universiti Sains Malaysia, Health Campus, 16150 Kota Bharu, Kelantan, Malaysia.
ABSTRACT
Adenosquamous carcinoma is a rare variant of squamous cell carcinoma of the nasal septum which is very aggressive and metastasise early with poor prognosis. We present a case of a gentleman who presented with left nasal septal swelling for 4 months. Examination showed a lesion at the left nasal septum extending to the dorsum of the nose and right upper lip region. Computed tomography scan of the paranasal sinuses and neck showed an enhancing lesion with ulceration at the left nasal septum, with regional metastasis to the neck. He underwent a subtotal rhinectomy, inferior maxillectomy, and bilateral modified radical neck dissection type III. Unfortunately, he succumbed to a cardiac arrest 5 days after surgery.
Keywords: Adenosquamous carcinoma, Advance stage, Rhinectomy, Nasal septum, Squamous cell carcinoma.
Corresponding author: Eyzawiah HASSAN, Department of Otorhinolaryngology, Head & Neck Surgery, Faculty of Medicine & Health Sciences, Universiti Sains Islam Malaysia, 71800 Nilai, Negeri Sembilan, Malaysia.
Tel: +60199101179; email: eyzawiah@usim.edu.my.
Telephone number: 609-7676420; E-mail: az_aziz@usm.my
Brunei Int Med J.2023;19:13-18