case of the

month

2020

COTM JANUARY 2021

Case Credit- Dr Amber Kiyani & Professor Adnan Aslam (Islamabad, Pakistan)

CLINICAL DETAILS

A 20 year old male patient presented with a 2 month history of a nose bleed. Clinical examination showed a large, expansile lesion with a palpable mass in the left hard palate. There was evidence of ulceration with extension into the left nostril as well as the left buccal sulcus. A CT scan obliteration of the left maxillary sinus by a 5.3x6.3x5.4cm lesion with evidence of invasion into the hard palate and nose. Erosion of the pterygoid plates was also seen in addition to nsal septum deviation, expansion of the ethmoid sinus, involvement of nasolacrimal duct as well as overlying skin.

The initial histological impression on biopsy was that of a sarcoma. The patient underwent a left sided maxillectomy for removal of the lesion.

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