PMC6717058_01
Respiratory epithelium and subepithelial sheets of oval tumor cells arrange themselves around blood vessels. (H&E X 40).
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The final histopathology report after the surgery was reported as respiratory mucosa with a submucosal tumor with plasmacytoid and focally spindled morphology in myxoid to vascularized stroma and differential diagnosis was given as minor salivary gland neoplasm, nasal tumor and extraosseous myeloma (Fig. 1, Fig. 2).
Post first surgery magnetic resonance imaging with contrast coronal section of paranasal sinus.
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Still they advised for clinical correlation (Fig. 3, Fig. 4, Fig. 5).
Endoscopic image after first surgery and before second (revision) surgery showing granulation tissue at posterior part of septum, floor of sphenoid sinus and adjacent lateral nasal wall.
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Still they advised for clinical correlation (Fig. 3, Fig. 4, Fig. 5).
Endoscopic image after one year (revision surgery) showing well healed mucosa in nasal cavity at posterior part of septum, floor of sphenoid sinus, and adjacent lateral nasal wall.
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Patient had also underwent post second surgery MRI which was reported negative for disease (Fig. 6).