NUT cancer of nasal cavity and sinuses:a case report and literature review
NUT Carcinoma(NC)is a rare malignant tumor of unknown origin,which is highly aggressive.It is characterized by chromosome rearrangement accompanied by NUTM1 gene.The pathological manifestations were sudden and focal squamous in poorly differentiated or undifferentiated carcinoma.NUTM1gene rearrange-ment can be used to diagnose NC.The prognosis of NUT cancer is poor.Clinically,there is no established treat-ment plan.treatment options mainly comprise surgery,radiotherapy and chemotherapy.A 74-year-old patient with NC of the nasal cavity and sinuses was reported.Her clinical presentation was right nasal congestion with fa-cial swelling.Sinus CT and MRI showed soft tissue density in the right nasal cavity and maxillary sinus with bone destruction.After admission,the patient underwent nasal endoscopic biopsy,and the postoperative pathological FISH staining showed BRD4/NUT fusion t(15,19).The tumor was significantly reduced after two courses of se-quential chemoradiotherapy.Two months later,the patient underwent a partial maxillary resection due to the rap-id regrowth of sinusoidal mass,invading the hard palate.The patient died 2 months after surgery due to multiple organ failure resulted from tumor metastasis,with a survival time of 11 months.The clinical characteristics,di-agnosis and treatment of this case were reported and related literature was reviewed.
NETL
NSTL
万方数据
