✦ LIBER ✦

Perineural Spread to the Cavernous Sinus from Cutaneous SCCa

✍ Scribed by Alan R. Grimm; Michael Baird; Majid Khan; Karen T. Pitman

Publisher: John Wiley and Sons
Year: 2010
Tongue: English
Weight: 388 KB
Volume: 120
Category: Article
ISSN: 0023-852X
DOI: 10.1002/lary.21614

No coin nor oath required. For personal study only.

✦ Synopsis

PATIENT 1 65 y/o M with history of previous resection of cutaneous SCCa of right cheek. Presented to clinic in 2008 with two year history of progressive right facial weakness, diplopia and pain in a trigeminal distribution. Had already undergone craniotomy with nondiagnostic biopsy because of concerns regarding cavernous sinus. On exam had right ophthalmoplegia and facial paralysis; no obvious skin involvement. MRIs were equivocal however PET scan showed hypermetabolic activity in right midface corresponding to infraorbital nerve. Subsequent biopsy of the infraorbital nerve at the foramen demonstrated patient to have tumoral involvement . Treated palliatively in December 2008 with IMRT which improved pain. However, in September 2009 presented to follow up with worsening pain; MRI showed disease progression.

📜 SIMILAR VOLUMES

Metastases to the cavernous sinus from p

Metastases to the cavernous sinus from primary carcinoma of the larynx

✍ Mohammed Zahra; Hamed H. Tewfik; Brian F. McCabe 📂 Article 📅 1986 🏛 John Wiley and Sons 🌐 English ⚖ 553 KB

Distant metastases from late stages of carcinoma of the vocal cords can occur. Such metastatic deposit can occur in unusual sites. In this report, we are presenting a patient with spread to the cavernous sinus. Radiation therapy was of palliative value.

Perineural spread of cutaneous malignanc

Perineural spread of cutaneous malignancy to the brain : A review of the literature and five patients treated with stereotactic radiotherapy

✍ B. Zach Fowler; Ian R. Crocker; Peter A. S. Johnstone 📂 Article 📅 2005 🏛 John Wiley and Sons 🌐 English ⚖ 306 KB