Primary Kaposi’s sarcoma of the nasal cavity: a case report and review of the literature
Identifieur interne : 000673 ( Pmc/Checkpoint ); précédent : 000672; suivant : 000674Primary Kaposi’s sarcoma of the nasal cavity: a case report and review of the literature
Auteurs : Karima Mouden [Maroc] ; Mouna Khmou [Maroc] ; Saida Loughmari [Maroc] ; Afaf Semmar [Maroc] ; Hanan El Kacemi [Maroc] ; Basma El Khannoussi [Maroc] ; Tayeb Kebdani [Maroc] ; Sanaa Elmajjaoui [Maroc] ; Noureddine Benjaafar [Maroc]Source :
- Clinical Sarcoma Research [ 2045-3329 ] ; 2016.
Abstract
Kaposi sarcoma is a neoplastic vascular disorder. It usually present on the skin of the upper and lower extremities, rarely in the mucosa of the head and neck. The most common sites reported are within the oral cavity, particularly on the palate. Other mucosal sites are rare. We present an unusual case where the primary manifestation of the Kaposi’s sarcoma was in the nasal mucosa.
A 56-year-old female of Mediterranean descent presented with a 1 year history of swelling on the left side of her nose, nasal obstruction and occasional minor epistaxes. Physical examination showed a firm and bulging polypoid mass which filled the left nasal cavity without cutaneous lesions.
Computed tomography (CT) demonstrated a tumor, measuring 77 mm in diameter, occupying the left nasal cavity causing erosion of nasal septum and extending posteriorly to the left choana and nasopharynx. There was bilateral cervical lymphadenopathy. Patient treated with chemotherapy alone. She was in a complete response after the first cycle. The patient received no further treatment. She needs a regular medical checkups that include a review of a patient’s medical history and a complete physical exam. She is in excellent local control over 12 months.
A review of the literature revealed that only seven cases of primary Kaposi sarcoma of the nasal cavity have previously been published and only two of them presented in a patient not associated with the acquired immunodeficiency syndrome. Here, we report the third case where the primary manifestation of the Kaposi sarcoma was in the nasal cavity in a patient with an adequate immune system.
Url:
DOI: 10.1186/s13569-016-0044-4
PubMed: 26998222
PubMed Central: 4797219
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<author><name sortKey="Elmajjaoui, Sanaa" sort="Elmajjaoui, Sanaa" uniqKey="Elmajjaoui S" first="Sanaa" last="Elmajjaoui">Sanaa Elmajjaoui</name>
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<author><name sortKey="Benjaafar, Noureddine" sort="Benjaafar, Noureddine" uniqKey="Benjaafar N" first="Noureddine" last="Benjaafar">Noureddine Benjaafar</name>
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<series><title level="j">Clinical Sarcoma Research</title>
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<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>Kaposi sarcoma is a neoplastic vascular disorder. It usually present on the skin of the upper and lower extremities, rarely in the mucosa of the head and neck. The most common sites reported are within the oral cavity, particularly on the palate. Other mucosal sites are rare. We present an unusual case where the primary manifestation of the Kaposi’s sarcoma was in the nasal mucosa.</p>
</sec>
<sec><title>Case presentation</title>
<p>A 56-year-old female of Mediterranean descent presented with a 1 year history of swelling on the left side of her nose, nasal obstruction and occasional minor epistaxes. Physical examination showed a firm and bulging polypoid mass which filled the left nasal cavity without cutaneous lesions.</p>
<p>Computed tomography (CT) demonstrated a tumor, measuring 77 mm in diameter, occupying the left nasal cavity causing erosion of nasal septum and extending posteriorly to the left choana and nasopharynx. There was bilateral cervical lymphadenopathy. Patient treated with chemotherapy alone. She was in a complete response after the first cycle. The patient received no further treatment. She needs a regular medical checkups that include a review of a patient’s medical history and a complete physical exam. She is in excellent local control over 12 months.</p>
</sec>
<sec><title>Conclusions</title>
<p>A review of the literature revealed that only seven cases of primary Kaposi sarcoma of the nasal cavity have previously been published and only two of them presented in a patient not associated with the acquired immunodeficiency syndrome. Here, we report the third case where the primary manifestation of the Kaposi sarcoma was in the nasal cavity in a patient with an adequate immune system.</p>
</sec>
</div>
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</TEI>
<pmc article-type="case-report"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Clin Sarcoma Res</journal-id>
<journal-id journal-id-type="iso-abbrev">Clin Sarcoma Res</journal-id>
<journal-title-group><journal-title>Clinical Sarcoma Research</journal-title>
</journal-title-group>
<issn pub-type="epub">2045-3329</issn>
<publisher><publisher-name>BioMed Central</publisher-name>
<publisher-loc>London</publisher-loc>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">26998222</article-id>
<article-id pub-id-type="pmc">4797219</article-id>
<article-id pub-id-type="publisher-id">44</article-id>
<article-id pub-id-type="doi">10.1186/s13569-016-0044-4</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject>
</subj-group>
</article-categories>
<title-group><article-title>Primary Kaposi’s sarcoma of the nasal cavity: a case report and review of the literature</article-title>
</title-group>
<contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Mouden</surname>
<given-names>Karima</given-names>
</name>
<address><email>moudenkarima@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Khmou</surname>
<given-names>Mouna</given-names>
</name>
<address><email>mounakhmou@yahoo.fr</email>
</address>
<xref ref-type="aff" rid="Aff2"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Loughmari</surname>
<given-names>Saida</given-names>
</name>
<address><email>saidaloughmari@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Semmar</surname>
<given-names>Afaf </given-names>
</name>
<address><email>semmar.afaf@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>El Kacemi</surname>
<given-names>Hanan</given-names>
</name>
<address><email>elkacemihanan@yahoo.fr</email>
</address>
<xref ref-type="aff" rid="Aff1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>El Khannoussi</surname>
<given-names>Basma</given-names>
</name>
<address><email>drbasma2ster@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff2"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Kebdani</surname>
<given-names>Tayeb</given-names>
</name>
<address><email>Kebdani2000@yahoo.fr</email>
</address>
<xref ref-type="aff" rid="Aff1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Elmajjaoui</surname>
<given-names>Sanaa</given-names>
</name>
<address><email>drsanaamajjaoui@hotmail.com</email>
</address>
<xref ref-type="aff" rid="Aff1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Benjaafar</surname>
<given-names>Noureddine</given-names>
</name>
<address><email>n.benjaafar@um5s.net.ma</email>
</address>
<xref ref-type="aff" rid="Aff1"></xref>
</contrib>
<aff id="Aff1"><label></label>
Department of Radiotherapy, National Institute of Oncology, University Mohammed V, Rabat, Morocco</aff>
<aff id="Aff2"><label></label>
Department of Pathology, National Institute of Oncology, Rabat, Morocco</aff>
</contrib-group>
<pub-date pub-type="epub"><day>17</day>
<month>3</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>17</day>
<month>3</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="collection"><year>2016</year>
</pub-date>
<volume>6</volume>
<elocation-id>4</elocation-id>
<history><date date-type="received"><day>25</day>
<month>2</month>
<year>2016</year>
</date>
<date date-type="accepted"><day>10</day>
<month>3</month>
<year>2016</year>
</date>
</history>
<permissions><copyright-statement>© Mouden et al. 2016</copyright-statement>
<license license-type="OpenAccess"><license-p><bold>Open Access</bold>
This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">http://creativecommons.org/licenses/by/4.0/</ext-link>
), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/publicdomain/zero/1.0/">http://creativecommons.org/publicdomain/zero/1.0/</ext-link>
) applies to the data made available in this article, unless otherwise stated.</license-p>
</license>
</permissions>
<abstract id="Abs1"><sec><title>Background</title>
<p>Kaposi sarcoma is a neoplastic vascular disorder. It usually present on the skin of the upper and lower extremities, rarely in the mucosa of the head and neck. The most common sites reported are within the oral cavity, particularly on the palate. Other mucosal sites are rare. We present an unusual case where the primary manifestation of the Kaposi’s sarcoma was in the nasal mucosa.</p>
</sec>
<sec><title>Case presentation</title>
<p>A 56-year-old female of Mediterranean descent presented with a 1 year history of swelling on the left side of her nose, nasal obstruction and occasional minor epistaxes. Physical examination showed a firm and bulging polypoid mass which filled the left nasal cavity without cutaneous lesions.</p>
<p>Computed tomography (CT) demonstrated a tumor, measuring 77 mm in diameter, occupying the left nasal cavity causing erosion of nasal septum and extending posteriorly to the left choana and nasopharynx. There was bilateral cervical lymphadenopathy. Patient treated with chemotherapy alone. She was in a complete response after the first cycle. The patient received no further treatment. She needs a regular medical checkups that include a review of a patient’s medical history and a complete physical exam. She is in excellent local control over 12 months.</p>
</sec>
<sec><title>Conclusions</title>
<p>A review of the literature revealed that only seven cases of primary Kaposi sarcoma of the nasal cavity have previously been published and only two of them presented in a patient not associated with the acquired immunodeficiency syndrome. Here, we report the third case where the primary manifestation of the Kaposi sarcoma was in the nasal cavity in a patient with an adequate immune system.</p>
</sec>
</abstract>
<kwd-group xml:lang="en"><title>Keywords</title>
<kwd>Kaposi sarcoma</kwd>
<kwd>Nasal cavity</kwd>
<kwd>Adequate immune system</kwd>
<kwd>Chemotherapy</kwd>
</kwd-group>
<custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name>
<meta-value>© The Author(s) 2016</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
</front>
</pmc>
<affiliations><list><country><li>Maroc</li>
</country>
<region><li>Rabat-Salé-Kénitra</li>
</region>
<settlement><li>Rabat</li>
</settlement>
</list>
<tree><country name="Maroc"><region name="Rabat-Salé-Kénitra"><name sortKey="Mouden, Karima" sort="Mouden, Karima" uniqKey="Mouden K" first="Karima" last="Mouden">Karima Mouden</name>
</region>
<name sortKey="Benjaafar, Noureddine" sort="Benjaafar, Noureddine" uniqKey="Benjaafar N" first="Noureddine" last="Benjaafar">Noureddine Benjaafar</name>
<name sortKey="El Kacemi, Hanan" sort="El Kacemi, Hanan" uniqKey="El Kacemi H" first="Hanan" last="El Kacemi">Hanan El Kacemi</name>
<name sortKey="El Khannoussi, Basma" sort="El Khannoussi, Basma" uniqKey="El Khannoussi B" first="Basma" last="El Khannoussi">Basma El Khannoussi</name>
<name sortKey="Elmajjaoui, Sanaa" sort="Elmajjaoui, Sanaa" uniqKey="Elmajjaoui S" first="Sanaa" last="Elmajjaoui">Sanaa Elmajjaoui</name>
<name sortKey="Kebdani, Tayeb" sort="Kebdani, Tayeb" uniqKey="Kebdani T" first="Tayeb" last="Kebdani">Tayeb Kebdani</name>
<name sortKey="Khmou, Mouna" sort="Khmou, Mouna" uniqKey="Khmou M" first="Mouna" last="Khmou">Mouna Khmou</name>
<name sortKey="Loughmari, Saida" sort="Loughmari, Saida" uniqKey="Loughmari S" first="Saida" last="Loughmari">Saida Loughmari</name>
<name sortKey="Semmar, Afaf" sort="Semmar, Afaf" uniqKey="Semmar A" first="Afaf" last="Semmar">Afaf Semmar</name>
</country>
</tree>
</affiliations>
</record>
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