title: [Melanoma of sphenoid sinus. Case presentation and review of literature].
abstract: The primary malignant melanomas of sphenoidal sinus are very uncommon tumours. We are reporting a clinical case of a 56 years-old male who was sent from the Neurology Department with ocular pain and headache of several months evolution and without personal history. Exploration revealed a VIth palsy, diplopia and ptosis. The complementary imaging tests (CT and MR) showed and expansive tumour of the sphenoidal sinus involving the right cavenous sinus. A F.E.S.S. with biopsy was performed to confirm the diagnosis. Our patient was treated by Radiotherapy and after a 4 year follow-up period he is still alive. We have carried to a bibliographic review of this pathology whose differential diagnosis must be done with epidermoid carcinomas, adenocarcinomas and lymphomas on that location.
authors.affiliation: Facultativo Especialista del Area de Otorrinolaringología, Complejo Hospitalario Infanta Cristina, Badajoz.
authors.forename: V
authors.initials: V
authors.lastname: Pino Rivero
authors.forename: T
authors.initials: T
authors.lastname: Keituqwa Yánez
authors.forename: M
authors.initials: M
authors.lastname: Marcos García
authors.forename: G
authors.initials: G
authors.lastname: Trinidad Ruíz
authors.forename: G
authors.initials: G
authors.lastname: Pardo Romero
authors.forename: A
authors.initials: A
authors.lastname: Blasco Huelva
mesh_terms: D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008545:Melanoma / Q000000981:diagnostic imaging* / Q000473:pathology* / Q000601:surgery; D008875:Middle Aged; D010255:Paranasal Sinus Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology* / Q000601:surgery; D011859:Radiography; D013101:Sphenoid Sinus / Q000000981:diagnostic imaging* / Q000473:pathology* / Q000601:surgery