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Arch Otolaryngol Head Neck Surg. 2004;130:241-242.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Diagnosis: Primary intestinal-type sinonasal adenocarcinoma

Adenocarcinoma, which accounts for 10% to 20% of all primary malignancies of the nasal cavity and adjacent sinuses, most commonly arises from minor salivary or seromucinous glands.^1-2 Intestinal-type adenocarcinoma (ITAC) is a rare subtype that accounts for approximately 4% of all sinonasal adenocarcinomas.³ It appears to be unrelated to salivary gland neoplasia² and may arise from mucus-secreting ("cylinder") cells of the respiratory mucosa. Sinonasal ITAC has been recognized as a specific disease entity for a century, but a significant association was made between ITAC and industrial wood exposure only 40 years ago, with a 500- to 1000-fold increase in risk for long-time woodworkers compared with the general population.⁴ Our patient had a significant history of wood-dust exposure through his past profession as well his recent hobby and had been personally building a home shortly before presenting to the emergency department. Patients with such exposure account for about 20% of cases,¹ . . . [Full Text of this Article]

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Arch Otolaryngol Head Neck Surg. 2004;130(2):239.
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