O'Keeffe N A, Chiriac E, Dias A, Nae A
Department of Otolaryngology/Head & Neck Surgery, South Infirmary-Victoria University Hospital, Cork, Ireland.
Department of Radiology, South Infirmary-Victoria University Hospital, Cork, Ireland.
Int J Surg Case Rep. 2024 Nov;124:110358. doi: 10.1016/j.ijscr.2024.110358. Epub 2024 Sep 26.
INTRODUCTION & IMPORTANCE: Primary Sino-nasal metastases are rare. The most common anatomical sites that metastasise to this region are the kidneys followed by the lungs, breast, thyroid and prostate. Metastases from laryngeal cancer are even rarer. We report a unique case of sphenoid and cavernous sinus metastases in a patient with glottic cancer. Herein we describe to the authors' knowledge the first reported case of supraglottic metastases to the sphenoid and cavernous sinus. This study will help further our understanding metastatic spread outside of those well described in literature.
A 75-year-old with a right neck swelling and hoarseness, treated for glottic SCC and represented with cranial nerve involvement suspicious for sinonasal metastases.
Metastases to the sinonasal cavity are rare representing 3 % of head and neck malignancies. The most common primary sites include breast, colon, thyroid and prostate. Metastases from the larynx are exceedingly rare.
This case report illustrates a rare case of Sino-nasal metastases from a patient with glottic SCC, it highlights an alternative metastatic pathway which often proves fatal.
原发性鼻窦转移瘤罕见。转移至该区域最常见的解剖部位是肾脏，其次是肺、乳腺、甲状腺和前列腺。喉癌转移更为罕见。我们报告了一例声门癌患者发生蝶窦和海绵窦转移的独特病例。在此，据作者所知，这是首例声门上转移至蝶窦和海绵窦的报道病例。本研究将有助于进一步加深我们对文献中未详细描述的转移扩散情况的理解。
一名75岁患者，因右侧颈部肿胀和声音嘶哑接受声门鳞状细胞癌治疗，现因怀疑鼻窦转移伴颅神经受累前来就诊。
鼻窦转移瘤罕见，占头颈恶性肿瘤的3%。最常见的原发部位包括乳腺、结肠、甲状腺和前列腺。喉转移极为罕见。
本病例报告展示了一例声门鳞状细胞癌患者发生鼻窦转移的罕见病例，突出了一种往往致命的转移途径。
