Objective: To study the etiology, clinical manifestation, radiograph manifestation and treatment of osteogenic sarcoma in frontal sinus.
Method: A case of osteogenic sarcoma of the frontal sinus is reported. Recurrent epistaxis and supra-orbital pain were presented as the chief complaint. CT scan revealed a mass in right frontal sinus and invasion to the inferior wall of the sinus. Treatment comprised lateral rhinotomy followed by radiotherapy and chemotherapy.
Result: The patient was followed up 1 year and 9 month, and no recurrence or metastasis was found.
Conclusion: The diagnosis of osteogenic sarcoma in frontal sinus should be made upon the following aspects: CT scan of the sinus, nasal endoscopic detection and biopsy. Radical surgery followed by radiotherapy and chemotherapy may be the main treatment.