Hyalinizing Clear Cell Carcinoma in the Sphenoid Sinus

Author:

Takamura Toshiya1,Koyasu Sho1,Sugimoto Akihiko2,Yamamoto Takayuki3,Nakamoto Yuji1

Affiliation:

1. Diagnostic Imaging and Nuclear Medicine

2. Diagnostic Pathology, Graduate School of Medicine, Kyoto University

3. Department of Radiology, Kyoto City Hospital, Kyoto, Japan.

Abstract

Abstract A 39-year-old man presented with a 1-month history of headaches. Imaging revealed a mass with extensive destruction. T2-weighted imaging displayed mixture of low and sponge-like high intensities and also dark area, with FDG PET/CT showing uneven but intense accumulation. Biopsy confirmed EWSR1 rearrangement, and hyalinizing clear cell carcinoma (HCCC) was diagnosed. HCCC, recently renamed from clear cell carcinoma in the fifth edition of the World Health Organization Classification of Head and Neck Tumors, is a rare tumor. This case describes the features of T2-weighted imaging and FDG PET patterns in HCCC, possibly contributing to their consideration in the differential diagnosis.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Radiology, Nuclear Medicine and imaging,General Medicine

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