Kanaya Yosuke, Tsunoda Atsunobu, Saigo Kanako, Tanaka Kumiko, Yoshikawa Akihisa, Kubo Satoko, Matsumoto Fumihiko
Department of Otolaryngology-Head and Neck Surgery, Juntendo Nerima Hospital, Nerima-ku Takanodai 3-1-10, Tokyo 177-0033, Japan.
Department of Otorhinolaryngology, Juntendo University Graduate School of Medicine, Tokyo, Japan.
Oxf Med Case Reports. 2024 Sep 2;2024(9):omae101. doi: 10.1093/omcr/omae101. eCollection 2024 Sep.
A 57-year-old man was referred to our department with a mass in the sphenoid sinus. Surgical removal of the tumor was performed. However, a testicular mass was found that showed rapid growth. He had undergone inguinal orchiectomy. Five days after the urological surgery, he noticed visual disturbances and bilateral visual loss. Ophthalmological examination revealed total blindness, and magnetic resonance imaging revealed sphenoid mass growth. The patient underwent emergent removal of the tumor, and a diagnosis of malignant lymphoma was made. A final diagnosis of mantle cell lymphoma (MCL) in the testis and sphenoid sinus was made. After receiving treatment with intravenous corticosteroids and chemotherapy for lymphoma, his left vision completely recovered. Although his right vision was lost, he returned to normal social activities. This is the first report in the literature on MCL developing in the sphenoid sinus presenting with bilateral blindness and ipsilateral recovery.
一名57岁男性因蝶窦肿物被转诊至我科。对该肿瘤进行了手术切除。然而，发现一个睾丸肿物，其生长迅速。他接受了腹股沟睾丸切除术。泌尿外科手术后五天，他注意到视觉障碍和双侧视力丧失。眼科检查显示完全失明，磁共振成像显示蝶窦肿物生长。患者接受了肿瘤的紧急切除，并诊断为恶性淋巴瘤。最终诊断为睾丸和蝶窦套细胞淋巴瘤（MCL）。在接受淋巴瘤静脉注射皮质类固醇和化疗后，他的左眼视力完全恢复。虽然他的右眼视力丧失，但他恢复了正常的社交活动。这是文献中首例关于蝶窦发生MCL并出现双侧失明及同侧视力恢复的报道。
