PMC4706871_01
Coronal CT of the sinuses reveals right nasal maxillary mass with medial orbital wall destruction.
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fig1
ACC cribriform pattern, characterized by nests of cells with mucopolysaccharide-filled spaces.
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fig2
Biopsy of the right inferior turbinate and maxillary sinus revealed soft tissue fragments of ACC (Figure 2).
ACC with extensive invasion of the right infraorbital nerve.
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fig3
Multiple areas were reported to be positive for ACC on frozen section biopsies; of significance was a positive biopsy of the right infraorbital nerve at the apex of the orbital cone exiting the infraorbital fissure (Figure 3).
Split thickness graft reconstruction with inset showing resected tumor mass measuring 3.5 cm.
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fig4
The largest gross focus measured 3.5 cm (Figure 4), and the tumor was graded as intermediate G2 moderately differentiated ACC.