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...
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Portuguese Society of Otolaryngology and Head and Neck Surgery
2022-03-01
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| Series: | Revista Portuguesa Otorrinolaringologia e Cirurgia de Cabeça e Pescoço |
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| Online Access: | https://journalsporl.com/index.php/sporl/article/view/2159 |
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| author | Anna Paula Auada Kopaz Thais Potter Viviane Martori Pandini Edmir Américo Lourenço |
| author_facet | Anna Paula Auada Kopaz Thais Potter Viviane Martori Pandini Edmir Américo Lourenço |
| author_sort | Anna Paula Auada Kopaz |
| collection | DOAJ |
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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.
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| format | Article |
| id | doaj-art-8f35ba1ebb834d799b248902c6d792c3 |
| institution | DOAJ |
| issn | 2184-6499 |
| language | English |
| publishDate | 2022-03-01 |
| publisher | Portuguese Society of Otolaryngology and Head and Neck Surgery |
| record_format | Article |
| series | Revista Portuguesa Otorrinolaringologia e Cirurgia de Cabeça e Pescoço |
| spelling | doaj-art-8f35ba1ebb834d799b248902c6d792c32025-08-20T03:23:27ZengPortuguese Society of Otolaryngology and Head and Neck SurgeryRevista Portuguesa Otorrinolaringologia e Cirurgia de Cabeça e Pescoço2184-64992022-03-0160110.34631/sporl.958Metastatic breast tumor as a differential diagnosis for clival lesionAnna Paula Auada Kopaz0Thais Potter1Viviane Martori Pandini2Edmir Américo Lourenço3Faculdade de Medicina de Jundiai, BrasilFaculdade de Medicina de Jundiai, BrasilFaculdade de Medicina de Jundiai, BrasilFaculdade de Medicina de Jundiai, Brasil 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. https://journalsporl.com/index.php/sporl/article/view/2159Cerebral metastasisEndoscopic endonasal biopsy |
| spellingShingle | Anna Paula Auada Kopaz Thais Potter Viviane Martori Pandini Edmir Américo Lourenço Metastatic breast tumor as a differential diagnosis for clival lesion Revista Portuguesa Otorrinolaringologia e Cirurgia de Cabeça e Pescoço Cerebral metastasis Endoscopic endonasal biopsy |
| title | Metastatic breast tumor as a differential diagnosis for clival lesion |
| title_full | Metastatic breast tumor as a differential diagnosis for clival lesion |
| title_fullStr | Metastatic breast tumor as a differential diagnosis for clival lesion |
| title_full_unstemmed | Metastatic breast tumor as a differential diagnosis for clival lesion |
| title_short | Metastatic breast tumor as a differential diagnosis for clival lesion |
| title_sort | metastatic breast tumor as a differential diagnosis for clival lesion |
| topic | Cerebral metastasis Endoscopic endonasal biopsy |
| url | https://journalsporl.com/index.php/sporl/article/view/2159 |
| work_keys_str_mv | AT annapaulaauadakopaz metastaticbreasttumorasadifferentialdiagnosisforclivallesion AT thaispotter metastaticbreasttumorasadifferentialdiagnosisforclivallesion AT vivianemartoripandini metastaticbreasttumorasadifferentialdiagnosisforclivallesion AT edmiramericolourenco metastaticbreasttumorasadifferentialdiagnosisforclivallesion |