# Sinonasal Carcinoma Presenting with Proptosis and Visual Impairment: A Case Report

## TL;DR

A 40-year-old woman with a rare nasal cancer causing eye issues was successfully treated with surgery and improved vision.

## Contribution

This case report highlights the diagnostic and management challenges of sinonasal carcinoma with visual impairment.

## Key findings

- The patient showed improvement in visual acuity after surgical tumor excision.
- Multidisciplinary care is essential for optimal outcomes in sinonasal carcinoma cases.
- Early diagnosis and intervention are crucial to prevent complications in this aggressive cancer.

## Abstract

Sinonasal carcinoma is a rare but aggressive malignancy arising from the nasal cavity and paranasal sinuses. We present a case of a 40-year-old female who presented with a three-month history of headache, diminution of vision, and proptosis. Imaging studies revealed soft tissue density with bony erosion and extraconal extension in the left orbit. Histopathological examination confirmed sinonasal carcinoma with anaplastic changes. The patient underwent surgical excision of the tumor and received post-operative care in the neuro-ICU. Her visual acuity improved post-surgery, and she was discharged with stable neurological status. This case highlights the challenges in the diagnosis and management of sinonasal carcinoma and underscores the importance of multidisciplinary care for optimal outcomes. Early diagnosis and intervention are crucial in preventing complications and achieving favorable outcomes in patients with this aggressive malignancy.