Large cell neuroendocrine carcinoma of the nasal cavity: an extremely rare and new distinct entity

Large cell neuroendocrine carcinoma (LCNEC) is a rare but distinct entity of nasal cavity carcinomas. Only a very few cases have been reported in the nasal cavity. Its treatment is not well established. We report the case of a LCNEC in a 70 years old patient who presented with right nasal obstructio...

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Main Authors: Jawad Lahma, Reda Hejjouji, Philippe Gicquel, Leila Essakalli
Format: Article
Language:English
Published: The Pan African Medical Journal 2018-06-01
Series:The Pan African Medical Journal
Subjects:
Online Access: https://www.panafrican-med-journal.com/content/article/30/188/pdf/188.pdf
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author Jawad Lahma
Reda Hejjouji
Philippe Gicquel
Leila Essakalli
author_facet Jawad Lahma
Reda Hejjouji
Philippe Gicquel
Leila Essakalli
author_sort Jawad Lahma
collection DOAJ
description Large cell neuroendocrine carcinoma (LCNEC) is a rare but distinct entity of nasal cavity carcinomas. Only a very few cases have been reported in the nasal cavity. Its treatment is not well established. We report the case of a LCNEC in a 70 years old patient who presented with right nasal obstruction and epistaxis since 2 months. Diagnosis was confirmed by histological and immunohistochemical study. The patient underwent complete endoscopic removal of the tumor combined to adjuvant chemoradiotherapy. After 6 month follow-up, the patient was in complete clinical and radiological remission. We will discuss in this paper the various epidemiology, clinical features, pathological findings, differential diagnosis, and evolution of treatment of this uncommon malignancy in the light of current knowledge. Optimal treatment strategies are yet to be determined for this rare malignancy with poor prognosis including surgery and chemoradiotherapy.
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spelling doaj.art-130a1a0aa7e34e9a837714a0a8f6a64e2022-12-21T19:24:03ZengThe Pan African Medical JournalThe Pan African Medical Journal1937-86881937-86882018-06-013018810.11604/pamj.2018.30.188.1499214992Large cell neuroendocrine carcinoma of the nasal cavity: an extremely rare and new distinct entityJawad Lahma0Reda Hejjouji1Philippe Gicquel2Leila Essakalli3 ENT Department, Ibn Sina University Hospital, Mohammed V University, Rabat, Morocco ENT Department, Ibn Sina University Hospital, Mohammed V University, Rabat, Morocco ENT Department, Hospital Center of Niort, France ENT Department, Ibn Sina University Hospital, Mohammed V University, Rabat, Morocco Large cell neuroendocrine carcinoma (LCNEC) is a rare but distinct entity of nasal cavity carcinomas. Only a very few cases have been reported in the nasal cavity. Its treatment is not well established. We report the case of a LCNEC in a 70 years old patient who presented with right nasal obstruction and epistaxis since 2 months. Diagnosis was confirmed by histological and immunohistochemical study. The patient underwent complete endoscopic removal of the tumor combined to adjuvant chemoradiotherapy. After 6 month follow-up, the patient was in complete clinical and radiological remission. We will discuss in this paper the various epidemiology, clinical features, pathological findings, differential diagnosis, and evolution of treatment of this uncommon malignancy in the light of current knowledge. Optimal treatment strategies are yet to be determined for this rare malignancy with poor prognosis including surgery and chemoradiotherapy. https://www.panafrican-med-journal.com/content/article/30/188/pdf/188.pdf large cell neuroendocrine carcinomanasal cavityendoscopic endonasal surgery
spellingShingle Jawad Lahma
Reda Hejjouji
Philippe Gicquel
Leila Essakalli
Large cell neuroendocrine carcinoma of the nasal cavity: an extremely rare and new distinct entity
The Pan African Medical Journal
large cell neuroendocrine carcinoma
nasal cavity
endoscopic endonasal surgery
title Large cell neuroendocrine carcinoma of the nasal cavity: an extremely rare and new distinct entity
title_full Large cell neuroendocrine carcinoma of the nasal cavity: an extremely rare and new distinct entity
title_fullStr Large cell neuroendocrine carcinoma of the nasal cavity: an extremely rare and new distinct entity
title_full_unstemmed Large cell neuroendocrine carcinoma of the nasal cavity: an extremely rare and new distinct entity
title_short Large cell neuroendocrine carcinoma of the nasal cavity: an extremely rare and new distinct entity
title_sort large cell neuroendocrine carcinoma of the nasal cavity an extremely rare and new distinct entity
topic large cell neuroendocrine carcinoma
nasal cavity
endoscopic endonasal surgery
url https://www.panafrican-med-journal.com/content/article/30/188/pdf/188.pdf
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AT philippegicquel largecellneuroendocrinecarcinomaofthenasalcavityanextremelyrareandnewdistinctentity
AT leilaessakalli largecellneuroendocrinecarcinomaofthenasalcavityanextremelyrareandnewdistinctentity