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# Case Report
A 76-year-old man presenting headche, nasal blockage and epistaxis was admitted in our hospital. A CT scan revealed a growing mass of soft tissue involving the etmmoidal cells, left maxillary, fontal left and sphenoid sinus. Initial biopsy was not suggestive of neoplasic dissease. Complete excision through a lateral rhinotomy approach was
then performed. The postoperative histopathologic report was suggestive of sinonasal neuroendocrine carcinoma, which was confirmed by immunohistochemistry.
> -Febrero 2013:Diagnóstico de tumoración fosa nasal izquierda cT4N0M0 (AP carcinoma neuroendocrino de célula grande )Post-biopsia presenta:epilepsia + hematoma subdural + empiema frontal + cerebritis.
-Abril 2013: :Se realiza craneotomía bifrontal y exeresis de tumor nasoetomoidal infilitrante. Como complicación presenta status epiléptico.
-Mayo3: inicia QT CArboplatino+ etoposido con intención neoadyuvante x 2 ciclos, con respuesta parcial
-Julio-Septiembre 2013:Radioterapia con intensidad modulada + QT carboplatno
-Septiembre 2014:Se realiza TAC cerebral que objetiva posible meningioma, pero por persistencia de la clínica en Octubre 2014 se realiza RMN que objetiva:lesión expansiva extraaxial parasagital parietal derecha con área de sangrado intratumoral, sugestiva de metástasis
-Noviembre 2014:Exéresis lesión cerebral (resección macroscópicamente completa, excepto foco 4mm adyacente a sinus longitudinal que sangra al intentar resescar). AP: carcinoma neuroendocrino de celula pequeña con afectación meningea. Subsequently the patient was treated with multiple cycles of chemo and radiotherapy.
# Discussion