Walden Ashley, Parvizi Nassim, Tatla Taran
Department of ENT, Queens Hospital BHRH NHS Trust, Essex, UK.
BMJ Case Rep. 2011 May 16;2011:bcr0420114075. doi: 10.1136/bcr.04.2011.4075.
An 81-year-old female presented to the maxillo-facial department with a 6-month history of left-sided toothache and upper lip and cheek numbness. She had previously undergone a right mastectomy for breast adenocarcinoma, followed 6 years later by left mastectomy with pneumonectomy for contralateral breast and lung metastases. Following buccal biopsies and MRI of the head and neck, the patient was referred to our head and neck team. The MRI showed a large left maxillary sinus mass and transnasal endoscopic biopsies under general anaesthesia of this confirmed distant breast carcinoma metastasis. The patient was discussed at the Head and Neck Multidisciplinary Team meeting. Further surgical resection was not thought appropriate and the patient has subsequently undergone curative dose radiotherapy to the face. She remains alive with symptom control 8 months following this presentation.
一位81岁女性因左侧牙痛及上唇和面颊麻木6个月就诊于颌面科。她曾因乳腺腺癌接受过右侧乳房切除术，6年后又因对侧乳腺和肺部转移行左侧乳房切除术及肺切除术。经颊部活检及头颈部MRI检查后，该患者被转诊至我们的头颈团队。MRI显示左侧上颌窦有一巨大肿块，全麻下经鼻内镜对其进行活检，证实为远处乳腺癌转移。该病例在头颈多学科团队会议上进行了讨论。认为进一步手术切除不合适，随后患者接受了面部根治性放疗。此次就诊8个月后，她仍存活且症状得到控制。
