Author/Authors :
Bedekovic, Vladimir School of Medicine - Department of Otorhinolaryngology and Head and Neck Surgery - Sisters of Mercy University Hospital Center - University of Zagreb - Zagreb, Croatia , Trotic, Robert School of Medicine - Department of Otorhinolaryngology and Head and Neck Surgery - Sisters of Mercy University Hospital Center - University of Zagreb - Zagreb, Croatia , Ries, Mihael School of Medicine - Department of Otorhinolaryngology and Head and Neck Surgery - Sisters of Mercy University Hospital Center - University of Zagreb - Zagreb, Croatia , Leventic, Miro School of Medicine - Department of Otorhinolaryngology and Head and Neck Surgery - University of Mostar - Mostar, Bosnia and Herzegovina , Jelavic, Boris School of Medicine - Department of Otorhinolaryngology and Head and Neck Surgery - University of Mostar - Mostar, Bosnia and Herzegovina , Kostic, Mirjana chool of Medicine - Croatian Health Insurance Fund - Zagreb, Croatia , Lauc, Tomislav School of Dental Medicine - Dental Clinic Apolonia - Zagreb, Croatia
Abstract :
We report a rare case of a large recurrent mucoepidermoid carcinoma (RMEC) in an 81-year-old female smoker, which hasoriginated in the right nasal vestibule. The recurrent tumour was inadequately treated for 6 years. It was a slow-growing tumourfor 3 years and then began to enlarge at a higher pace. In the next three years it has covered a large part of the face. The patient hadrefused any medical treatment. The tumour caused breathing and swallowing difficulties. Because of the profuse bleeding from thetumour, the patient underwent emergency surgery. Surgical treatment consisted of rhinectomy and resection of the central upper lipand part of the right cheek. The facial defect was reconstructed immediately. Recovery from surgery was fast with no complications.Postoperative Multislice Computed Tomography scan showed no metastases so the patient did not receive any chemotherapy orradiotherapy. During a 2.5 years’ follow-up period there was no recurrence of the disease
Keywords :
Recurrent Mucoepidermoid Carcinoma , Nasal Vestibule , NV , Mucoepidermoid carcinomas (MEC)