Malignant Nasal Polyp In A Child: A Case Report
Dr. Mahesh Bhat (MS) (ENT), Asst. Prof., Dept. of ENT, Father Muller Medical College, Mangalore, Karnataka, (India). Emailemail@example.com Phone-+91-9886734374
A one year and two months old male child was brought to our hospital by his parents. He presented with a history of breathing through the mouth and snoring since two months. The clinical examination was suggestive of nasal polyp. Computerised tomography (CT) scan of the nose and paranasal sinuses (PNS) revealed soft tissue density in the left maxillary sinus extending into the left nasal cavity, widening the ostium and infundibulum soft tissue density in ethmoidal sinuses. Endoscopic resection of the mass was done after a histopathological diagnosis of nasal polyp. The patient (pt) presented with recurrence of symptoms, with breathing and feeding difficulty within 15 days . Clinically, a polypoidal mass was seen filling the left nasal cavity, extending into the oropharynx. A repeat endoscopic resection was done and histopathological examination of the mass revealed embroynal rhabdomyosarcoma (parameningeal type). The patient was treated with 32 cycles of chemotherapy and regular follow up was done for two years. The patient is asymptomatic at the end of two years.
Key Words: nasal polyp, rhabdomyosarcoma, embryonal, parameningeal type