Terada N, Hiruma K, Suzuki M, Numata T, Konno A
Department of Otorhinolaryngology, Chiba University, School of Medicine, Japan.
Acta Otolaryngol Suppl. 1998;537:82-6. doi: 10.1080/00016489850182404.
The origin of metastatic tumors in the nasal or paranasal sinuses is often renal cancer, and metastasis to the nasal or paranasal sinuses sometimes takes a long time after nephrectomy. The present paper deals with one patient with metastasis of renal cancer to the ethmoid sinus 2 years after nephrectomy. Even though many metastatic tumors originating from renal cancer develop in multiples, most metastatic tumors in the nasal or paranasal sinuses are single and treated surgically. However, even if multiple tumors are found in the nasal and paranasal region and other organs, surgery will be effective in preventing epistaxis and subsequent anemia. Also, when removing a tumor it will be effective to identify the feeding arteries of the tumor, perform embolization therapy, and clip the necessary arteries.
鼻腔或鼻窦转移性肿瘤的起源通常为肾癌,肾癌转移至鼻腔或鼻窦有时在肾切除术后需很长时间。本文报道了1例肾切除术后2年肾癌转移至筛窦的病例。尽管许多源自肾癌的转移性肿瘤为多发,但鼻腔或鼻窦的大多数转移性肿瘤为单发,可通过手术治疗。然而,即使在鼻腔和鼻窦区域及其他器官发现多个肿瘤,手术对于预防鼻出血及随后的贫血仍有效。此外,在切除肿瘤时,识别肿瘤的供血动脉、进行栓塞治疗并夹闭必要的动脉会有效果。