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Korean Journal of Otorhinolaryngology-Head and Neck Surgery 1996;39(4): 720-4. |
A Case of Transitional Cell Carcinoma of the Maxillary Sinus Involving the Cavernous Sinus |
Seong Ki Ahn, MD, Cheon Gyu Kim, MD, Eui Gee Hwang, MD, and Sea Yuong Jeon, MD |
Department of Otolaryngology, College of Medicine, Gyeong-Sang National University, Chinju, Korea |
해면 정맥동을 침범한 상악동 이행세포암종 1례 |
안성기 · 김천규 · 황의기 · 전시영 |
경상대학교 의과대학 이비인후과학교실 |
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ABSTRACT |
Spread of tumor to cavernous sinus is an infrequent and late manifestation of head and neck cancers. Perineural spread occurs along the trigeminal nerve to eventually involve the cavernous sinus. Initially, patients with cavernous sinus involvement along the trigeminal nerve have facial dysesthesias to be diagnosed as trigeminal neuralgia mistakenly. If intracranial foramina have not been transgressed, surgery and radiotherapy have been curative. Otherwise treatment is largely palliative. Early recognition and diagnosis are very important because cavernous sinus involvement has a poor prognosis. We report a case of transitional cell carcinoma of the maxillary sinus involving the cavernous sinus along the maxillary division(V-2) of trigeminal nerve by perineural spreading, which is presented with facial pain and confirmed by computerized tomography and magnetic resonance imaging.
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Keywords:
Cavernous sinusㆍMaxillary sinusㆍTransitional cell carcinoma. |
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