title: Sinonasal teratocarcinosarcoma.
abstract: A 20 years old Afghan male was suffering from left sided nasal obstruction with headache for one year. On examination, patient had reddish, fleshy mass in left nasal cavity. Carotid angiography was inconclusive so incision biopsy was taken from nasal mass and it was reported as teratocarcinosarcoma. CT scan of PNS was done which showed heterogeneous mass in nasal cavity, paranasal sinuses with intracranial extension. The patient was operated. The approach was a combination of lateral rhinotomy with trans-basal sub-frontal craniotomy. He was treated by Co 60 and received a tumour dose of 56 Gy radiation. He is being followed regularly every 2 months after his final radiotherapy session and he is disease-free so far.
authors.affiliation: Department of ENT, Head and Neck Surgery, Postgraduate Medical Institute, Lady Reading Hospital, Peshawar. drfazal58@yahoo.com
authors.forename: Fazal I
authors.initials: FI
authors.lastname: Wahid
authors.forename: Muhammad
authors.initials: M
authors.lastname: Javaid
authors.forename: Qaisar
authors.initials: Q
authors.lastname: Khan
authors.forename: Iftikhar Ahmad
authors.initials: IA
authors.lastname: Khan
mesh_terms: D001707:Biopsy, Needle; D002296:Carcinosarcoma / Q000000981:diagnostic imaging / Q000473:pathology* / Q000628:therapy*; D017024:Chemotherapy, Adjuvant; D003399:Craniotomy / Q000379:methods; D005500:Follow-Up Studies; D006261:Headache / Q000175:diagnosis / Q000209:etiology; D006801:Humans; D007150:Immunohistochemistry; D008297:Male; D015508:Nasal Obstruction / Q000175:diagnosis / Q000209:etiology; D059747:Nasal Surgical Procedures / Q000379:methods; D009361:Neoplasm Invasiveness / Q000473:pathology; D009367:Neoplasm Staging; D009669:Nose Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology* / Q000628:therapy*; D010154:Pakistan; D010255:Paranasal Sinus Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology* / Q000628:therapy*; D018714:Radiotherapy, Adjuvant; D013724:Teratoma / Q000000981:diagnostic imaging / Q000473:pathology* / Q000628:therapy*; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome; D055815:Young Adult