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Published in Renal Cell Carcinoma

Expert Opinion / Cases · June 02, 2015

Ethmoid Sinus Mass

Written by
Andrew Fintel DO

 

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  • Eric Wiedower

    Jun 30, 2015

    In this situation I would consider surgical resection. These tumors are radioresistant, as such, I don't think that radiation would be of large benefit. Disease found to be localized so would favor surgery over systemic therapy.

  • Andrew Fintel

    Jul 07, 2015

    Surgery likely would have been the best option, but it was felt that surgery could not safely be done. We opted for IMRT. Systemic therapy with Sutent was offered to the patient, but she was unable to afford the copays, so we closely observed her with frequent imaging scans. 
    She developed a recurrence in her right Ethmoid SInus 2 years later, and surgery now radiation were options at this time, so she was started on Sutent. Unfortunately she developed diarrhea and Hemolytic Uremic Syndrome. 
    How should we proceed with treatment with this patient?

  • Apr 24, 2024

    Pending Moderator approval.
    Delete

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