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Titolo:
Metastases to the paranasal sinuses - Case report and review of the literature.
Autore:
Prescher, A; Brors, D;
Indirizzi:
Rhein Westfal TH Aachen, Univ Klinikum, Inst Anat 1, D-52057 Aachen, Germany Rhein Westfal TH Aachen Aachen Germany D-52057 , D-52057 Aachen, Germany Univ Wurzburg, Klin & Poliklin HNO Kranke, Wurzburg, Germany Univ Wurzburg Wurzburg Germany & Poliklin HNO Kranke, Wurzburg, Germany
Titolo Testata:
LARYNGO-RHINO-OTOLOGIE
fascicolo: 10, volume: 80, anno: 2001,
pagine: 583 - 594
SICI:
1615-0007(200110)80:10<583:MTTPS->2.0.ZU;2-W
Fonte:
ISI
Lingua:
GER
Soggetto:
FOLLICULAR THYROID-CARCINOMA; SPHENOID SINUS; HEPATOCELLULAR-CARCINOMA; MAXILLARY ANTRUM; RENAL-CARCINOMA; ETHMOID SINUS; ADENOCARCINOMA; CANCER; HEAD; NECK;
Keywords:
paranasal sinuses; metastases; sphenoid sinus; ethmoidal cells; maxillary sinus; frontal sinus; renal cell cancer; prostatic cancer;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
141
Recensione:
Indirizzi per estratti:
Indirizzo: Prescher, A Rhein Westfal TH Aachen, Univ Klinikum, Inst Anat 1, Pauwelsstr, D-52057 Aachen, Germany Rhein Westfal TH Aachen Pauwelsstr Aachen Germany D-52057 any
Citazione:
A. Prescher e D. Brors, "Metastases to the paranasal sinuses - Case report and review of the literature.", LARY RH OTO, 80(10), 2001, pp. 583-594

Abstract

The case of an 87-year old man with widespread prostatic cancer is reported. During the autopsy macroscopically visible metastases were found within the frontal sinuses. These tumor masses destroyed the posterior osseous wall of the frontal sinus and formed polypoid bulging masses. In contrast to the macroscopically unaffected mucous membrane of the sphenoid sinus the maceration specimen of the skull base demonstrated a spongious-mossy, osteoplastic metastasis, lining the sphenoid sinus like a tapestry. This affection started from an exhaustive osteoplastic metastasis within the clivus. No metastases could be found in both antrums or the ethmoids. Retrospectively nosymptoms from the paranasal sinuses could be eruated, only occasional painof the frontal bone. The review of the world literature with 123 reports revealed 169 cases. Renal cell carcinomas most frequently metastasize into the paranasal sinuses (67 cases), followed by bronchogenic carcinomas (15 cases). Thyroid cancers and cancers of the mammary gland are responsible for 13 respectively 14 cases. The prostate also adds 12 cases. The paranasal sinuses are affected in diminishing frequency: maxillary sinus (55 cases), sphenoid sinus (37 cases), ethmoidal cells (23 cases) and frontal sinus (15 cases). In 38 cases exhaustive metastases affecting two or more paranasal sinuses are reported. The statement of literature, that metastases affecting the paranasal sinuses are much more frequent than reported, cannot be supported by our study, because the intensive autoptic investigation of 50 skulls of patients suffering from widespread cancers revealed no further cases of metastatic processes of the paranasal sinuses.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 31/03/20 alle ore 22:06:26