Metastatic Hypernephroma Occurring in Nasal Septum

PRIMARY malignant tumors in the nasal cavity, although rare, have been recognized for a long time. These tumors usually occur as polypoid masses arising from the mucosa of the nose or the nasal sinuses. In the latter case, symptoms of bleeding and pain may be noted or presence of the tumor may first be recognized by radiological manifestations of bone destruction. In many instances, carcinoma may be found on routine pathological examination of material removed during radical procedures on the antrum. By far the greater number of cases are squamous-cell carcinomas, although a small percentage are adenocarcinomas, of which the mucinous type is distinctive. McComb and Martin1published a report in 1942 analyzing 65 cases of cancer of the nasal cavity. Of these, 11 cases were adenocarcinomas (17%). In a thorough search of the literature, both textbooks and medical journals, I was unable to find any reference to metastasizing