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Published on: January 17, 2018
Isolated sphenoid sinus adenocarcinoma: a case report
Ozcan Cakmak1, N Tan Ergin, M Volkan Aydin
1Başkent University Hospital, Department of Otorhinolaryngology, Bahçelievler, 06490 Ankara, Turkey. Ozcakmak@hotmail.com
Summary
Primary isolated sphenoid sinus adenocarcinoma is exceptionally rare. This case highlights a 68-year-old man with persistent headache and diplopia, diagnosed with sphenoid sinus adenocarcinoma.
Area of Science:
- Otolaryngology
- Oncology
- Radiology
Background:
- Primary isolated sphenoid sinus carcinoma is an extremely rare diagnosis.
- Sphenoid sinus malignancies often present with vague symptoms, delaying diagnosis.
Observation:
- A 68-year-old man presented with persistent headache and diplopia due to complete ophthalmoplegia.
- Paranasal sinus tomography revealed a soft-tissue mass in the sphenoid sinus, invading the cavernous sinuses.
Findings:
- Endoscopic intranasal biopsy confirmed adenocarcinoma.
- The patient responded to radiotherapy, with symptom resolution.
- However, multiple bone metastases developed six months post-diagnosis.
Implications:
- This case underscores the rarity of primary sphenoid sinus adenocarcinoma.
- Early recognition of sphenoid sinus lesions is crucial for timely management.
- The aggressive metastatic potential highlights the need for vigilant follow-up.
