Kim Younghac, Chung Man Ki, Hong Sang Duk
Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, School of Medicine, Sungkyunkwan University, Seoul, Republic of Korea.
J Rhinol. 2022 Mar;29(1):52-55. doi: 10.18787/jr.2021.00381. Epub 2022 Feb 11.
Oropharyngeal squamous cell carcinoma (OSCC) with metastasis to the cavernous sinus (CS) is uncommon, and only a few cases have been described in the literature. The highest age-adjusted incidence rate for OSCC including the tonsil in males occurs in South Asians, and more cases should be reported to establish earlier identification and treatment. We report a case of OSCC in a 59-year-old male who underwent prompt endoscopic biopsy and early palliative radiation therapy to allow complete recovery of cranial nerve palsies to improve his quality of life, despite having a poor prognosis. Furthermore, this report emphasizes his dramatic resolution of symptoms after radiation therapy, highlighting the importance of rapid recognition and proper management.
伴有海绵窦转移的口咽鳞状细胞癌（OSCC）并不常见，文献中仅描述了少数病例。包括扁桃体在内的OSCC在男性中的年龄调整发病率最高的是南亚人，应报告更多病例以建立早期识别和治疗方法。我们报告了一例59岁男性的OSCC病例，尽管预后不良，但该患者接受了及时的内镜活检和早期姑息性放射治疗，以使颅神经麻痹完全恢复，从而改善其生活质量。此外，本报告强调了他放疗后症状的显著缓解，突出了快速识别和妥善管理的重要性。
