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Chih-Chieh Tseng, MD; Ching-Zong Lin, MD; Wing-Yin Li, MD
Veterans General Hospital-Taipei, Taipei, Taiwan

Arch Otolaryngol Head Neck Surg. 2005;131:173.

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

A 71-year-old woman presented with a 3-month history of nasal obstruction and epistaxis in June 2003. Eleven years earlier, she had undergone 8 weeks of radiotherapy to the nasopharynx and neck (dosage, 72 Gy; 2 Gy per fraction) for nasopharyngeal carcinoma. Physical examination revealed a fungating, gray-tan tumor mass occupying the entire nasal chamber. Laboratory tests demonstrated a lactate dehydrogenase level of 140 IU/L and an alkaline phosphatase level of 67 IU/L. Magnetic resonance imaging with intravenous gadolinium injection showed an extensive heterogeneous soft tissue mass in the ethmoidal sinuses, the sphenoidal sinus, and the nasal chamber, with invasion of the right orbit and skull base (Figure 1).

Figure appears in full text version. Figure 1.

The patient then underwent a craniofacial resection with orbital preservation. The surgical specimen demonstrated malignant spindle- to polygonal-shaped stromal cells with pleomorphic nuclei and occasional mitoses. Nests of chondroid . . . [Full Text of this Article]

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