Tomazic Peter Valentin, Ropposch Thorsten, Nemetz Ulrike, Walch Christian
Division of Neurootology, ENT University Hospital Graz, Auenbruggerplatz, Graz, Austria.
Skull Base Rep. 2011 May;1(1):13-6. doi: 10.1055/s-0031-1275245. Epub 2011 Mar 15.
Skull base metastases are rare conditions. Usually breast or prostate cancers are responsible primary tumors. Definite diagnosis can only be obtained through biopsies. We report the first case of breast cancer metastases into left occipital condyle, which was biopsied successfully through radical extended mastoidectomy under computer-assisted intraoperative navigation. This access proved to be feasible and safe, and enough material could be obtained for histological examination. According to the result, optimal adjuvant treatment strategies could be planned.
颅底转移瘤是罕见疾病。通常原发肿瘤为乳腺癌或前列腺癌。明确诊断只能通过活检获得。我们报告首例乳腺癌转移至左枕髁的病例,该病例在计算机辅助术中导航下通过根治性扩大乳突切除术成功进行了活检。这种入路被证明是可行且安全的,并且能够获取足够的材料用于组织学检查。根据检查结果,可以制定最佳的辅助治疗策略。