Reimann K, Schulze M, Adam P, Wagner W
Universitäts-HNO-Klinik, Elfriede-Aulhorn-Str. 5, 72076, Tübingen, Deutschland.
HNO. 2011 Sep;59(9):915-7. doi: 10.1007/s00106-010-2203-x.
With the symptom diplopia, in addition to an ocular cause, pathology of the paranasal sinuses must always be taken into consideration. A common differential diagnosis is an acute inflammatory process such as an orbital complication of acute sinusitis. We present the rare case of an initial manifestation of metastasis in the paranasal sinuses originating from a primary ductal carcinoma in situ of the breast. In our case, the metastatic manifestation and its clinical symptoms were the first sign of recurrence and transformation into invasive breast cancer.
出现复视症状时，除了眼部病因外，鼻窦的病变也必须始终予以考虑。常见的鉴别诊断是急性炎症过程，如急性鼻窦炎的眼眶并发症。我们报告了一例罕见病例，鼻窦转移的初始表现源自乳腺原位导管癌。在我们的病例中，转移表现及其临床症状是复发并转变为浸润性乳腺癌的首个迹象。
