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Atypical Meningioma of the Sinonasal Tract
This case report describes a patient with intellectual disability who presented with a neglected midline nasal mass eroding the anterior skull base, which was found to be a Grade II meningioma likely of the olfactory bulb. Points of interest include differential diagnosis of this atypical mass of th...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8184111/ https://www.ncbi.nlm.nih.gov/pubmed/34113518 http://dx.doi.org/10.7759/cureus.14908 |
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author | Fechtner, Linnea C Persino, Philip R Burke, Mark S |
author_facet | Fechtner, Linnea C Persino, Philip R Burke, Mark S |
author_sort | Fechtner, Linnea C |
collection | PubMed |
description | This case report describes a patient with intellectual disability who presented with a neglected midline nasal mass eroding the anterior skull base, which was found to be a Grade II meningioma likely of the olfactory bulb. Points of interest include differential diagnosis of this atypical mass of the sinonasal tract, as well as decision-making in balancing appropriate management and quality of life in a patient with developmental delay who could not make decisions for herself. Literature review regarding the role of adjuvant radiation based on final diagnosis and extent of disease suggests that radiation can improve locoregional control and overall survival with atypical meningioma. Lack of clear information in the literature on these rare conditions can lead to poor understanding on the part of the treatment team and the healthcare proxies who are making decisions, making goals of care discussions and medical decision-making challenging. This case report seeks to add to the available data on management of atypical meningiomas of the sinonasal tract and olfactory bulb. |
format | Online Article Text |
id | pubmed-8184111 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-81841112021-06-09 Atypical Meningioma of the Sinonasal Tract Fechtner, Linnea C Persino, Philip R Burke, Mark S Cureus Otolaryngology This case report describes a patient with intellectual disability who presented with a neglected midline nasal mass eroding the anterior skull base, which was found to be a Grade II meningioma likely of the olfactory bulb. Points of interest include differential diagnosis of this atypical mass of the sinonasal tract, as well as decision-making in balancing appropriate management and quality of life in a patient with developmental delay who could not make decisions for herself. Literature review regarding the role of adjuvant radiation based on final diagnosis and extent of disease suggests that radiation can improve locoregional control and overall survival with atypical meningioma. Lack of clear information in the literature on these rare conditions can lead to poor understanding on the part of the treatment team and the healthcare proxies who are making decisions, making goals of care discussions and medical decision-making challenging. This case report seeks to add to the available data on management of atypical meningiomas of the sinonasal tract and olfactory bulb. Cureus 2021-05-08 /pmc/articles/PMC8184111/ /pubmed/34113518 http://dx.doi.org/10.7759/cureus.14908 Text en Copyright © 2021, Fechtner et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Otolaryngology Fechtner, Linnea C Persino, Philip R Burke, Mark S Atypical Meningioma of the Sinonasal Tract |
title | Atypical Meningioma of the Sinonasal Tract |
title_full | Atypical Meningioma of the Sinonasal Tract |
title_fullStr | Atypical Meningioma of the Sinonasal Tract |
title_full_unstemmed | Atypical Meningioma of the Sinonasal Tract |
title_short | Atypical Meningioma of the Sinonasal Tract |
title_sort | atypical meningioma of the sinonasal tract |
topic | Otolaryngology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8184111/ https://www.ncbi.nlm.nih.gov/pubmed/34113518 http://dx.doi.org/10.7759/cureus.14908 |
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