title: Endoscopic approach to the resection of adenoid cystic carcinoma of paranasal sinuses and nasal cavity: case report and own experience.
abstract: Adenoid cystic carcinoma (ACC) is a rare malignant tumor that might occur in nasal cavity and paranasal sinuses. It is characteristic for poor prognosis, especially the solid histopathological subtype of the tumor. ACC might spread along nerves and fascias and it is usually diagnosed at advanced stage. Computed tomography and magnetic resonance imaging together with fine-needle biopsy are the gold standards in the diagnostic procedure of the cancer. Surgery with adjuvant therapy are the most common methods of treatment. Among the surgical approaches, the functional endonasal sinus surgery seems to be the most appropriate and favorable way of treatment. In the study, the authors present a case of a 62-year-old patient with T4aN0M0 ACC tumor treated endoscopically at the Department of Laryngology and ENT Oncology, WSS No. 5 in Sosnowiec. The authors indicate the usefulness of FESS procedure in the treatment of malignancies of nasal cavity and paranasal sinuses. They also review the recent publications on endonasal versus open approach in similar cases. In conclusions, the authors favor endonasal approach as a mini-invasive method of surgical treatment of ACC of paranasal sinuses that results in satisfactory oncological outcome and high quality of patient's life.
authors.affiliation: Clinical Department of Laryngology, School of Medicine in Katowice, Medical University of Silesia, Francuska St. 20-24, 40-029, Katowice, Poland. piotrwardas@onet.pl.|Department of Laryngology and ENT Oncology, Regional Hospital No. 5, Sosnowiec, Poland. piotrwardas@onet.pl.
authors.forename: Piotr
authors.initials: P
authors.lastname: Wardas
authors.affiliation: Department of Neurosurgery, School of Medicine in Katowice, Medical University of Silesia, Regional Hospital No. 5, Sosnowiec, Poland. tymowski.michal@gmail.com.
authors.forename: Michał
authors.initials: M
authors.lastname: Tymowski
authors.affiliation: Clinical Department of Laryngology, School of Medicine in Katowice, Medical University of Silesia, Francuska St. 20-24, 40-029, Katowice, Poland. agapio.fm@interia.pl.
authors.forename: Agnieszka
authors.initials: A
authors.lastname: Piotrowska-Seweryn
authors.affiliation: Department of Neurosurgery, School of Medicine in Katowice, Medical University of Silesia, Regional Hospital No. 5, Sosnowiec, Poland. wojciech_kaspera@poczta.onet.pl.
authors.forename: Wojciech
authors.initials: W
authors.lastname: Kaspera
authors.affiliation: Clinical Department of Laryngology, School of Medicine in Katowice, Medical University of Silesia, Francuska St. 20-24, 40-029, Katowice, Poland. ola.slaska@op.pl.
authors.forename: Aleksandra
authors.initials: A
authors.lastname: Ślaska-Kaspera
authors.affiliation: Clinical Department of Laryngology, School of Medicine in Katowice, Medical University of Silesia, Francuska St. 20-24, 40-029, Katowice, Poland. jmarkow1@poczta.onet.pl.
authors.forename: Jarosław
authors.initials: J
authors.lastname: Markowski
mesh_terms: D003528:Carcinoma, Adenoid Cystic / Q000473:pathology / Q000601:surgery*; D004724:Endoscopy / Q000379:methods*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D009296:Nasal Cavity / Q000473:pathology; D009669:Nose Neoplasms / Q000473:pathology / Q000601:surgery*; D010256:Paranasal Sinuses / Q000473:pathology