[Melanoma of sphenoid sinus. Case presentation and review of literature].
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.
Pino Rivero
V
V
Facultativo Especialista del Area de Otorrinolaringología, Complejo Hospitalario Infanta Cristina, Badajoz.
Keituqwa Yánez
T
T
Marcos García
M
M
Trinidad Ruíz
G
G
Pardo Romero
G
G
Blasco Huelva
A
A
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