Sinonasal Carcinoma

Sinonasal Carinoma Treatment in Orange County

Sinonasal Carinoma Treatment in Orange County by Dr. LouisSinunasal carnioma is malignant or cancerous tumor of the nose and sinuses and comes in different types. These tumors are rare, making up only about three percent of tumors in the upper respiratory tract. They are know to occur twice as common in males than in females. The different types of sinunasal carcinoma are:

 

  • Basal cell and squamous cell carcinoma
  • Adenocarcinoma
  • Adenoid cystic carcinoma
  • Sinonasal undifferentiated carcinoma (SNUC)
  • Esthesioneuroblastoma
  • Sarcomas (arising from soft tissue, cartilage, and bone)
  • Melanoma
  • Lymphoma

 

There is no known direct cause for sinonasal carcinoma. However, it is sometimes associated with squamous cell carcinoma and cigarette smoking. Sinunasal carcinoma occurs more commonly among middle aged men and those exposed to leather tanning, industrial fumes and minerals (nickel, cadmium) and wood dust.

Symptoms of sinunasal carcinoma vary depending on the tumor location. The most common symptoms are nasal congestion and discharge. Symptoms from other benign conditions such as allergies or sinusitisthis can delay the diagnosis of a malignant sinunasal carcinoma. Below are the common symptoms:

  • Difficulty breathing through one side of the nose
  • Loss of sense of smell
  • Nasal bleeding
  • Nasal obstruction (usually on one side only)
  • Facial pressure, swelling or pain
  • Bulging eye
  • Confusion
  • Double vision or visual loss
  • Tearing
  • Loosening or numbness of the upper teeth

 

Advanced sinunasal carcinoma, patients may be presented with more serious symptoms:

  • Loss of hearing or ear pain
  • Headache
  • Difficulty opening the mouth
  • Mental status change

Initial treatment for sinunasal carcinoma will involve Robert Louis, MD conducting thorough medical history and physical exam, including the patient’s symptoms and health history. To help diagnose and confirm presence of colloid cyst, special imaging will be requested:

Endoscopic examination: Initial endoscopic examination by an otolaryngologist or an ENT doctor.

Magnetic resonance imaging (MRI): An MRI uses magnetic fields to produce detailed cross-sectional images of the brain.

Computed tomography (CT) scan: Imaging procedure that uses X-ray camera to scan series of detailed cross-sectional images of the brain.

Biopsy: A procedure where a small piece of tumor tissue is removed and tested to confirm sinonasal carcinoma.

After diagnostic tests are done, Dr. Louis will review all of the results with you and describe the tumor location, size and the best treatment options.

Treatment of sinunasal carcinoma is planned for each individual case and depends on the type, size, and location of the tumor. A combination treatment with minimally invasive keyhole surgery and radiotherapy, with or without chemotherapy, is given in specific situations.

Endonasal Endoscopy:
A minimally invasive keyhole approach that allows an endoscope to be threaded through the nose and sinus to reach and remove sinonasal carcinoma. Robert Louis, MD specializes in minimally invasive removal of sinunasal carcinoma that is proven to be safer and more effective. It incorporates Dr. Louis’ experience, education training and use of cutting edge technology and instrumentation.

Radiation Therapy
When it is not possible to operate or remove the sinunasal carcinoma completely and safely, radiation is the best treatment option.

Chemotherapy
Chemotherapy uses drugs to stop cancer cells from growing. Depending on the type and stage of the sinunasal carcinoma, chemotherapy may be taken by mouth, injected, or placed directly into the tumor site.

Robert Louis, MD, a fellowship-trained Orange County Neurosurgeon, is the Director of the Skull Base and Pituitary Tumor Program at Hoag Memorial Hospital in Orange County, California. Dr. Louis has particular expertise in endoscopic and minimally invasive treatment of benign and malignant brain tumors, sellar and parasellar tumors and skull base tumors.

Dr. Robert Louis specializes in minimally invasive brain surgery for the treatment of sinunasal carcinoma. For appointments, please call (949) 274-7336 or Contact Us.