Leiomyome agressif naso-sinusien : a propos d’un cas et revue de la litterature
Year: 2013
Type: article
Study design: Case Report
Abstract: Introduction : Les leiomyomes sont des tumeurs benignes issues des fibres musculaires lisses. La localisation au niveau des cavites nasosinusiennes est tres rare. Cas clinique : Il s’agit d’une patiente âgee de 59 ans, qui a consulte pour obstruction nasale et epistaxis gauches. L’endoscopie nasale a montre une formation comblant totalement la fosse nasale gauche. L’imagerie (TDM, IRM) a objective un volumineux processus expansif tissulaire naso-ethmoido-maxillaire, avec extension intra-orbitaire et endocrânienne. La biopsie confirme qu’il s’agit d’un leiomyome a localisation nasosinusienne. La patiente a ete operee par voie paralateronasale elargie. Elle a eu une exerese tumorale complete et une reconstruction de la perte de substance osseuse par autogreffe. Les suites operatoires etaient simples. Aucune recidive n’a ete notee apres un recul de 1 an. Conclusion : La localisation nasosinusienne du leiomyome est tres rare. L’imagerie est indispensable dans le cadre du bilan d’extension loco-regional. Seul une exerese chirurgicale complete permettra d’eviter toute recidive aussi bien a court qu’a long terme. Mots-cles : leiomyome, fosses nasales, sinus, tomodensitometrie, imagerie par resonance magnetique, chirurgie sinusienne Introduction : Leiomyomas are benign tumors arising from smooth muscle fibers. The location at the sinonasal cavities is very rare. Case report : This is a female patient aged 59, who consulted for left nasal obstruction and epistaxis. Nasal endoscopy showed a tumor completely filling the left nasal cavity. Imaging (CT, MRI) has objectified a large expansive tissularnaso-maxillary-ethmoidal process with intraorbital and intracranial extension. The biopsy confirmed that this was a leiomyoma with sinonasal localization. The patient was operated by extended paralateronasale approach. She had a complete tumor resection and reconstruction of the bone defect with autograft. The postoperative course was uneventful. No recurrence was observed after a follow-up period of 1 year. Conclusion : The sinonasal location of leiomyoma is very rare. Imaging is essential for locoregional staging. Only a complete surgical resection will prevent any recurrence both in short and long term. Keywords : leiomyoma, nasal fossae, sinus, computed tomography, magnetic resonance imaging, sinusal surgery
Authors: Khaled Khamassi, I Kesraoui, A. Smaili, Rim Lahiani, L. Bougacha, N Kaffel, Ariane Boubaker, Mohammed Salah, M Ferjaoui
Language: Catalan
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W1483048018