Metastatic breast tumor as a differential diagnosis for clival lesion
M. M. J. O. S., a 60-year-old woman, presenting with progressive paresthesia on the left side of her face, for the past 4 months. No nasal, otological or ocular complaints. Physical exam showed no alterations. Four months ago, a MRI was performed, showing a median and paramedian left expansile lesi...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Portuguese Society of Otolaryngology and Head and Neck Surgery
2022-03-01
|
| Series: | Revista Portuguesa Otorrinolaringologia e Cirurgia de Cabeça e Pescoço |
| Subjects: | |
| Online Access: | https://journalsporl.com/index.php/sporl/article/view/2159 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| Summary: | M. M. J. O. S., a 60-year-old woman, presenting with progressive paresthesia on the left side of her face, for the past 4 months. No nasal, otological or ocular complaints. Physical exam showed no alterations. Four months ago, a MRI was performed, showing a median and paramedian left expansile lesion of probable neoplastic nature in the clivus, located medially and paramedially to the left. A past history of breast carcinoma personal history, patient refers tumor in left breast 9 years ago, with histopathological exams pointing to invasive ductal carcinoma with compromised margins after surgery. Patient underwent treatment and follow-up, with no recurrence of the tumor until the present moment. Two years and four months ago, patient presented with occipital headache, face drooping and left body paresthesia. Seven months ago, a similar episode occurred, with normal MRI and a hypothesis of Transient Ischemic Attack. Fibroscopic laryngoscopy showed a tumor invading the rhinopharynx, and a left sphenoid sinus biopsy was performed, via endonasal approach. The pathological exam showed a poorly differentiated invasive malignant neoplasic lesion, poorly differentiated. The immunohistological analysis presented similar positive markers as to the previous breast tumor in the patient’s history.
|
|---|---|
| ISSN: | 2184-6499 |