Journal of Clinical & Experimental OncologyISSN: 2324-9110

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Case Report, J Clin Exp Oncol Vol: 3 Issue: 1

Solitary Fibrous Tumour of the Sinonasal Cavity-Case Report of Endoscopic Resection Using Coblation

Edmiston R1, Pal P2, Gnanalingham K3,4 and Bhalla RK1,4*
1Tameside NHS Foundation Trust, Ashton-under-Lyne, UK
2Departments of Neuropathology and Neurosurgery Greater Manchester Neurosciences Centre, UK
3Salford Royal Foundation Trust, Manchester, UK
4Manchester Academic Health Sciences Centre, University of Manchester, Manchester, UK
Corresponding author : Bhalla RK
Department of Otolaryngology - Head & Neck Surgery, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL, UK
Tel: (0161) 276 – 4426; Fax: (0161) 276 – 5003
E-mail: [email protected]
Received: January 21, 2014 Accepted: February 23, 2014 Published: February 25, 2014
Citation: Edmiston R, Pal P, Gnanalingham K, Bhalla RK (2014) Solitary Fibrous Tumour of the Sinonasal Cavity – Case Report of Endoscopic Resection Using Coblation. J Clin Exp Oncol 3:1. doi:10.4172/2324-9110.1000121

Abstract

Solitary Fibrous Tumour of the Sinonasal Cavity – Case Report of Endoscopic Resection Using Coblation

Background:
Solitary fibrous tumours (SFT) are extremely rare mesenchymal tumours. Surgery can be complicated by bleeding. This case describes the treatment by endoscopic approach, using novel operative strategies in a high-risk patient who was unable to have blood transfusion.
Case report: This 28 year old Caucasian female underwent trans-nasal surgery 8 years previously for a right sided sinonasal SFT. She re-presented on this occasion with recurrence of symptoms. Imaging revealed a part calcified mass at the base of anterior skull base with involvement of the right cribriform plate and with intra-cranial extension. Peri-operative embolization was found to be too hazardous.
Conclusions: To minimise surgical trauma, a trans-nasal endoscopic approach was undertaken, and macroscopic clearance was achieved primarily using coblation. This novel technique, which is as yet unreported in the literature for sinonasal SFT, was found to be a very effective means of ensuring haemostasis whilst maintaining an excellent field of view.

Keywords: Solitary fibrous tumour; Anterior skull base; Endoscopy; Coblation

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