Priya Madhu, Xavier Joyson, John Saumya, Angral Sumeet, Malhotra Manu, Bhardwaj Abhishek, Varshney Saurabh, Venkatesan Sneha
Department of Otorhinolaryngology & Head-Neck Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand 249203 India.
Indian J Otolaryngol Head Neck Surg. 2022 Oct;74(Suppl 2):1967-1972. doi: 10.1007/s12070-020-01931-9. Epub 2020 Jul 4.
Metastasis to the nasal cavity and paranasal sinuses are very rare and only few cases have been reported so far. Metastatic nasal mass with silent primary renal cell carcinoma (RCC) is even rarer. So are giant cell tumors which rarely affects soft tissues whether superficial or deep. These rarely occur in nasal cavity. We would like to discuss 2 cases-one being a 74 year old female with a solitary asymptomatic extensive metastatic lesion in sinonasal area of silent primary renal cell carcinoma and other being a 38 year old female multiple lytic expansile lesions in facial and skull bones who was previously treated for giant cell tumor of long bone-tibia. We aim to bring their occurrence to notice as they are rare, to highlight importance of these tumors in differential diagnosis of sinonasal masses and treatment options for the same.
转移至鼻腔和鼻窦非常罕见，迄今为止仅有少数病例报道。伴有隐匿性原发性肾细胞癌（RCC）的转移性鼻腔肿物更为罕见。巨细胞瘤同样罕见，它很少累及浅表或深部软组织，在鼻腔更是罕见。我们想讨论2例病例——1例是一名74岁女性，有无症状的孤立性广泛转移病灶位于隐匿性原发性肾细胞癌的鼻窦区域；另1例是一名38岁女性，面部和颅骨有多个溶骨性膨胀性病灶，她曾接受过长骨（胫骨）巨细胞瘤的治疗。我们旨在引起大家对这些罕见病例的关注，强调这些肿瘤在鼻腔肿物鉴别诊断中的重要性以及相应的治疗选择。
