A case report of sinonasal teratocarcinosarcoma

A sinonasal teratocarcinosarcoma (SNTCS) is a rare and aggressive malignant neoplasm histologically characterized by the combination of one or more ep ithelial elements and mesenchymal components. We report a case of a 78-year -old man with SNTCS involving the nasal cavity and paranasal sinuses. He co mplained of epiphora and exophthalmos with weight loss. Physical and diagno stic images resulted T4N0M0. The tumor was completely and widely resected v ia a transfacial approach to perform total maxillectomy with orbital exente ration. The clinical presentation, pathologic features, and clinical course are described with a review of the literature.