A Case Report of Malignant Melanoma of the Sphenoid Sinus

Malignant melanoma of the sphenoid sinus is a very rare disease, and only 6 cases have previously been reported. The present case involved a 74-year-old woman who was examined for visual disturbance of the left eye. Computed tomography revealed a soft tissue shadow, but only mucosal hypertrophy was...

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Main Authors: Kiyoaki Tsukahara, Kazuhiro Nakamura, Ray Motohashi, Minoru Endo, Hiroki Sato
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Otolaryngology
Online Access:http://dx.doi.org/10.1155/2013/613472
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author Kiyoaki Tsukahara
Kazuhiro Nakamura
Ray Motohashi
Minoru Endo
Hiroki Sato
author_facet Kiyoaki Tsukahara
Kazuhiro Nakamura
Ray Motohashi
Minoru Endo
Hiroki Sato
author_sort Kiyoaki Tsukahara
collection DOAJ
description Malignant melanoma of the sphenoid sinus is a very rare disease, and only 6 cases have previously been reported. The present case involved a 74-year-old woman who was examined for visual disturbance of the left eye. Computed tomography revealed a soft tissue shadow, but only mucosal hypertrophy was found on opening the sphenoid sinus under general anesthesia. One month postoperatively, visual disturbance of the right eye and paresis of cranial nerve III appeared. Malignant melanoma was diagnosed from biopsy. Multiple bone metastases were identified, but the patient declined active treatment. As a result, palliative care was provided and she died 3 months later. When there is no improvement in postoperative visual acuity as in this case, in consideration of the possibility of neoplastic lesions, rigorous followup including monitoring for neurological symptoms is warranted.
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series Case Reports in Otolaryngology
spelling doaj-art-23de0684b95c4c3a97807720272085062025-02-03T07:24:40ZengWileyCase Reports in Otolaryngology2090-67652090-67732013-01-01201310.1155/2013/613472613472A Case Report of Malignant Melanoma of the Sphenoid SinusKiyoaki Tsukahara0Kazuhiro Nakamura1Ray Motohashi2Minoru Endo3Hiroki Sato4Department of Otolaryngology, Tokyo Medical University Hachioji Medical Center, 163 Tatemachi, Hachioji, Tokyo 193-0998, JapanDepartment of Otolaryngology, Tokyo Medical University Hachioji Medical Center, 163 Tatemachi, Hachioji, Tokyo 193-0998, JapanDepartment of Otolaryngology, Tokyo Medical University Hachioji Medical Center, 163 Tatemachi, Hachioji, Tokyo 193-0998, JapanDepartment of Otolaryngology, Tokyo Medical University Hachioji Medical Center, 163 Tatemachi, Hachioji, Tokyo 193-0998, JapanDepartment of Otolaryngology, Tokyo Medical University Hachioji Medical Center, 163 Tatemachi, Hachioji, Tokyo 193-0998, JapanMalignant melanoma of the sphenoid sinus is a very rare disease, and only 6 cases have previously been reported. The present case involved a 74-year-old woman who was examined for visual disturbance of the left eye. Computed tomography revealed a soft tissue shadow, but only mucosal hypertrophy was found on opening the sphenoid sinus under general anesthesia. One month postoperatively, visual disturbance of the right eye and paresis of cranial nerve III appeared. Malignant melanoma was diagnosed from biopsy. Multiple bone metastases were identified, but the patient declined active treatment. As a result, palliative care was provided and she died 3 months later. When there is no improvement in postoperative visual acuity as in this case, in consideration of the possibility of neoplastic lesions, rigorous followup including monitoring for neurological symptoms is warranted.http://dx.doi.org/10.1155/2013/613472
spellingShingle Kiyoaki Tsukahara
Kazuhiro Nakamura
Ray Motohashi
Minoru Endo
Hiroki Sato
A Case Report of Malignant Melanoma of the Sphenoid Sinus
Case Reports in Otolaryngology
title A Case Report of Malignant Melanoma of the Sphenoid Sinus
title_full A Case Report of Malignant Melanoma of the Sphenoid Sinus
title_fullStr A Case Report of Malignant Melanoma of the Sphenoid Sinus
title_full_unstemmed A Case Report of Malignant Melanoma of the Sphenoid Sinus
title_short A Case Report of Malignant Melanoma of the Sphenoid Sinus
title_sort case report of malignant melanoma of the sphenoid sinus
url http://dx.doi.org/10.1155/2013/613472
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