Successful surgical interventions for a giant and complicated myoepithelial carcinoma: a case report

Ethmoid myoepithelial carcinoma is a rare tumor, with only 14 cases reported to date. This report discusses the largest tumor of this type ever recorded in the ethmoid region. The tumor caused extensive damage to facial structures, complicating treatment. The patient's age and comorbidities inc...

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Published in:Archives of craniofacial surgery 2024, Vol.25 (4), p.197-200
Main Authors: Quang Vinh Vu, Thanh Tuan Hoang, Van Anh Tran, Thanh Hai Tong, Hong Ha Nguyen
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creator Quang Vinh Vu
Thanh Tuan Hoang
Van Anh Tran
Thanh Hai Tong
Hong Ha Nguyen
description Ethmoid myoepithelial carcinoma is a rare tumor, with only 14 cases reported to date. This report discusses the largest tumor of this type ever recorded in the ethmoid region. The tumor caused extensive damage to facial structures, complicating treatment. The patient's age and comorbidities increased the risk of intraoperative bleeding, presenting challenges to the complete removal of the tumor and the reconstruction of the damaged structures. To reduce the risk of intraoperative hemorrhage, shorten the surgery time, and manage potential heart-related complications, arterial embolization was performed using gelatin sponges and coils. Definitive surgery was then carried out using a skin flap and mucosal flap to successfully reconstruct the defect. Postoperative radiotherapy was deemed unnecessary. The patient recovered well, with a satisfactory aesthetic outcome. No recurrence was observed during a 3-year follow-up period.
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title Successful surgical interventions for a giant and complicated myoepithelial carcinoma: a case report
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