Ashok Kumar


Fibrosarcoma is rare malignant neoplasm, which most commonly involves the extremities. Primary fibrosarcomas of the head and neck are very rare. Only one percent of fibrosarcomas arise in these regions. The paranasal sinus is one of the rarest locations for fibrosarcoma, with only a few cases having been reported in the literature since the year 2000. Although basic information related to fibrosarcoma has been reported, there are only few previous studies which describe the imaging characteristics of paranasal sinus fibrosarcoma. So it is very challenging for a radiologist to correctly diagnose fibrosarcomas pre-operatively. Therefore we present a case of 65 years old female patient with complaints of right sided facial swelling, pain and ipsilateral nasal blockage. She underwent CT scan which showed polypoidal mucosal thickening involving right maxillary sinus containing few calcific foci within it and showing post contrast enhancement suggestive of soft tissue mass. Biopsy revealed features of low grade fibrosarcoma a very rare entity found in this region.

Key words: Fibrosarcomas, Paranasal Sinus Neoplasm, Maxillary Sinus, Maxillary Sinus Neoplasm,

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