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Abstract

Background: Nasal obstruction is a common manifestation of diseases with nasal involvement such as: Allergic rhinitis, vasomotor rhinitis and rhinosinusitus. This article will report an unusual case of Primitive Neuroectodermal Tumor (PNET) in the sinonasal area in an adult, presenting as recurrent nasal obstruction. Study Design: Case report Setting: Tertiary hospital Population: 65 year old female, with recurrent nasal obstruction. Results: A 65 year old female presenting with recurrent nasal obstruction was treated conservatively as a case of Chronic Rhinosinusitis. However, further work up lead to a diagnosis of Primitive Neuroectodermal Tumor (PNET) in the Sinonasal area. PNET is an aggressive, locally invasive disease commonly presenting as loco regional pain in the lower limb of pediatric population. Various combinations of chemotherapy salvage surgery and radiation is currently the recommended treatment option. Conclusion: Primitive Neuroectodermal Tumor (PNET) is a highly malignant tumor, primarily seen in the long bones and soft tissues of the pediatric population. At this moment, due to paucity of literature, there is still much to learn regarding the optimum management and long-term prognosis of PNET of the head and neck region in adults.

Biography

Helena Michelle N Casipit completed her Pre medicine, Medicine, Post Graduate Internship at the University of Santo Tomas Hospital, Manila Philippines. She is currently a third year resident of Otorhinolaryngology Head and Neck Surgery, also at the University of Santo Tomas Hospital, Manila Philippines.