Li Wen-Jing, Xue Hai-Xiang, You Jian-Qiang, Chao Chang-Jiang
Department of Otolaryngology Head and Neck Surgery, The Third Affiliated Hospital of Soochow University, Changzhou 213000, Jiangsu Province, China.
World J Clin Cases. 2022 Jun 16;10(17):5869-5876. doi: 10.12998/wjcc.v10.i17.5869.
Lung cancer is often metastasized to the brain, liver, kidneys, bone, bone marrow, and adrenal glands; however, metastasis of primary lung cancer to the paranasal sinuses is extremely rare.
In this paper, we present a case of metastatic tumors of the sinus secondary to lung adenocarcinoma. The patient was a 46-year-old woman who underwent surgical removal of lung carcinoma. Four months after the surgical removal of the lung tumor, the patient presented with epistaxis, and on investigation, the diagnosis was confirmed to be nasal sinus tumors due to metastasis of lung adenocarcinoma.
Thorough investigation of patients with epistaxis and a history of lung cancer is necessary to diagnose metastatic sinus tumors. We reviewed relevant literature and found that there are no characteristic clinical or radiologic features for metastatic sinus tumors; however, the diagnosis can be confirmed by histopathological examination of biopsied tumor sample.
肺癌常转移至脑、肝、肾、骨、骨髓及肾上腺;然而,原发性肺癌转移至鼻窦极为罕见。
本文报告1例继发于肺腺癌的鼻窦转移瘤病例。患者为46岁女性,曾接受肺癌手术切除。肺部肿瘤切除术后4个月,患者出现鼻出血,经检查,确诊为肺腺癌转移所致的鼻窦肿瘤。
对于有鼻出血且有肺癌病史的患者,需进行全面检查以诊断鼻窦转移瘤。我们回顾了相关文献,发现鼻窦转移瘤并无特征性的临床或影像学表现;然而,通过对活检肿瘤样本进行组织病理学检查可确诊。