case_images: PMC11676015_01
case_images: Patient is seen with a left sinonasal mass
case_images: JWACS-15-102-g001.jpg
case_images: PMC11676015_01_JWACS-15-102-g001.jpg
case_images: JWACS_181_23-f001
case_images: He represented 2 years later with a history of worsening left nasal blockage with foul smelling discharge of 3 months duration and 2 months history of progressive protrusion of the left eye with associated chemosis and impairment of vision [Figure 1].
case_images: (a and b) Isodense lesion occupying both nasal cavities with extension to the left maxillary antrum (a) and ethmoid and orbit (b)
case_images: JWACS-15-102-g002.jpg
case_images: PMC11676015_01_JWACS-15-102-g002.jpg
case_images: JWACS_181_23-f002
case_images: Total opacification of the remaining paranasal sinuses was also noted [Figure 2a and b].
case_images: Solid mass filling the nasal cavity and maxillary antrum
case_images: JWACS-15-102-g003.jpg
case_images: PMC11676015_01_JWACS-15-102-g003.jpg
case_images: JWACS_181_23-f003
case_images: Intraoperative findings were those of a huge well-circumscribed tumour measuring about 9 cm x 8 cm x 7 cm [Figures 3 and 4], filling the left maxillary antrum with intranasal component extending to the nasopharynx, and erosion of the medial wall of the left maxilla.
case_images: Intraoperative removal of sinonasal mass with use of Weber-Ferguson incision
case_images: JWACS-15-102-g004.jpg
case_images: PMC11676015_01_JWACS-15-102-g004.jpg
case_images: JWACS_181_23-f004
case_images: Intraoperative findings were those of a huge well-circumscribed tumour measuring about 9 cm x 8 cm x 7 cm [Figures 3 and 4], filling the left maxillary antrum with intranasal component extending to the nasopharynx, and erosion of the medial wall of the left maxilla.
case_images: Haematoxylin and Eosin (H&E x100): Short fascicles of smooth muscle fibres arranged in interlacing and haphazard patterns with lymphocyte infiltrates; (H&E, x400: higher magnification of the same tumour showing mitotic activity short back arrow)
case_images: JWACS-15-102-g005.jpg
case_images: PMC11676015_01_JWACS-15-102-g005.jpg
case_images: JWACS_181_23-f005
case_images: Taking into cognisance of the initial histology report of SMTUMP, a final histological diagnosis of leiomyoma was made [Figure 5].