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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Wiley
2013-01-01
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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. |
format | Article |
id | doaj-art-23de0684b95c4c3a9780772027208506 |
institution | Kabale University |
issn | 2090-6765 2090-6773 |
language | English |
publishDate | 2013-01-01 |
publisher | Wiley |
record_format | Article |
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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