Transcranial resection of a large sinonasal juvenile psammomatoid ossifying fibroma

被引:23
作者
Noudel, Remy [1 ]
Chauvet, Edouard [2 ]
Cahn, Virginie [3 ]
Merol, Jean Claude [2 ]
Chays, Andre [2 ]
Rousseaux, Pascal [1 ]
机构
[1] Univ Reims, Maison Blanche Hosp, Dept Neurosurg, Reims, France
[2] Univ Reims, Robert Debre Hosp, Dept Otorhinolaryngol, Reims, France
[3] Univ Reims, Robert Debre Hosp, Dept Neuropathol, Reims, France
关键词
Ossifying fibroma; Juvenile psammomatoid ossifying fibroma; Fibroosseous lesions; Craniofacial surgery; Pediatric neurosurgery; FIBROOSSEOUS LESIONS; PARANASAL SINUSES; NASAL CAVITY; DIFFERENTIAL-DIAGNOSIS; CRANIOFACIAL RESECTION; MENINGIOMAS; EXTENSION; TUMORS;
D O I
10.1007/s00381-009-0867-x
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Introduction Juvenile psammomatoid ossifying fibroma (JPOF) is a benign but potentially locally aggressive fibroosseous lesion predominantly arising in the paranasal sinuses in children and young adults. Intracranial extension is rare but occurs sometimes. In such cases, tumor resection may often require the combination of neurosurgical and facial approaches. Histological diagnosis remains a challenge because the lesion can be easily mistaken for another fibroosseous lesion or for a meningioma. Case report We report the case of a 12-year-old boy with a JPOF arising from the right paranasal sinuses and extension towards the anterior skull base and the orbit. Despite the tumor had eroded through nasal septum, medial orbit wall, and right maxilla, it could be entirely removed performing an extended frontobasal approach via a bifrontoorbital craniotomy, obviating the need for a transfacial approach. Conclusion Radiologically and histologically, the lesion could be mistaken either for a meningioma or another type of ossifying fibroma. Histological aspects and alternative surgical approaches to these rare entities are discussed.
引用
收藏
页码:1115 / 1120
页数:6
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