Skull base low-grade non-intestinal adenocarcinoma in a paediatric patient

Skull base low-grade non-intestinal adenocarcinoma in a paediatric patient

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Background: Non-intestinal adenocarcinomas of the sinonasal tract are uncommon Refurbished Grinder neoplasms in adults, and particularly rare in the paediatric population.Case presentation: A 10-year-old male presented to the Paediatric Otolaryngology clinic with symptoms of recurrent epistaxis, persistent clear nasal discharge, and a left-sided polypoidal swelling causing nasal obstruction.An endoscopic biopsy of the polyp under general anaesthesia found a mass arising from the anterior olfactory cleft, and the histology report described the mass as a low-grade non-intestinal adenocarcinoma.

CT and MRI of the sinuses post-biopsy demonstrated no bony structure infiltration.The patient underwent a further endoscopic operation for definitive excision of the Audio Out Board nasal mass, and the histology findings confirmed a complete resection of the tumour.Conclusion: This case demonstrates the first case of a primary low-grade non-intestinal adenocarcinoma originating from the olfactory cleft.