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[蝶窦未分化癌继发球后视神经炎]

[Retrobulbar optic neuropathy secondary to an undifferentiated carcinoma of the sphenoid sinus].

作者信息

Soufi G, Hajji Z, Imdary I, Slassi N, Essakalli Housseini L, Maher M, Benchekroun N, Boulanouar A, Berraho A

机构信息

Service d'ophtalmologie B, hôpital des spécialités, CHU de Rabat, Rabat, Maroc.

出版信息

J Fr Ophtalmol. 2012 Dec;35(10):792-7. doi: 10.1016/j.jfo.2012.06.014. Epub 2012 Nov 8.

Abstract

Undifferentiated carcinoma of the paranasal sinuses is a rare malignant tumor, characterized by rapid growth, local/regional invasion, metastatic potential and poor prognosis despite aggressive treatment. Clinically, this tumor may manifest as episodes of epistaxis, headache or ophthalmic signs, particularly oculomotor nerve palsies, optic atrophy or even proptosis in the case of orbital extension. We report the case of a patient admitted with a left retrobulbar optic neuropathy, which led to a diagnosis of undifferentiated carcinoma of the sphenoid sinus.

摘要

鼻窦未分化癌是一种罕见的恶性肿瘤,其特点是生长迅速、局部/区域侵袭、有转移潜力且尽管积极治疗但预后较差。临床上,该肿瘤可能表现为鼻出血、头痛或眼部症状,尤其是动眼神经麻痹、视神经萎缩,在眼眶受累时甚至会出现眼球突出。我们报告一例因左侧球后视神经炎入院的患者,最终诊断为蝶窦未分化癌。

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