Kleinjung T, Held P
Klinik und Poliklinik für Hals-, Nasen- und Ohrenheilkunde, Universität Regensburg, Franz-Josef Strauss-Allee 11, 93042 Regensburg.
HNO. 2001 Feb;49(2):126-9. doi: 10.1007/s001060050721.
Metastatic tumours involving the nose and the paranasal sinuses are rare. Especially metastatic spread to the sphenoid sinus is an extremely rare occurrence. The most common metastatic tumour is the renal cell carcinoma. Only four cases of hepatocellular carcinoma presenting a sphenoid sinus metastasis could be found in a search of the literature. We report on the case of a 59-year-old male who suffered from a sphenoid sinus mass. A biopsy showed the tumour to be a metastatic hepatocellular carcinoma. The suspected primary tumour was then found in the left liver lobe. The early diagnosis of paranasal sinus malignancies is difficult because of the varied and nonspecific symptoms and signs. In cases of late diagnosis, the treatment is usually palliative with a poor prognosis. The importance of endoscopic examination and CT or MRI scan for early detection must be emphasized.
累及鼻和鼻窦的转移性肿瘤较为罕见。尤其是转移至蝶窦的情况极为罕见。最常见的转移性肿瘤是肾细胞癌。在文献检索中仅发现4例呈现蝶窦转移的肝细胞癌病例。我们报告一例59岁男性，其患有蝶窦肿物。活检显示该肿瘤为转移性肝细胞癌。随后在左肝叶发现了疑似原发肿瘤。由于症状和体征多样且不具特异性，鼻窦恶性肿瘤的早期诊断较为困难。在诊断较晚的病例中，治疗通常为姑息性，预后较差。必须强调内镜检查以及CT或MRI扫描对于早期发现的重要性。
