Sphenoid Sinus Carcinoma with Intramedullary Spinal Cord Metastasis and Syringomyelia: Report of A Case.
- Author:
Young Sock KIM
1
;
Yoon Kyeong OH
Author Information
1. Department of Therapeutic Radiology, Chosun University Medical Coolege, Kwangju, Korea.
- Publication Type:Case Report
- Keywords:
Sphenoid sinus carcinoma;
Intramedullary spinal cord metastasis;
Syringomyelia
- MeSH:
Diagnosis;
Humans;
Magnetic Resonance Imaging;
Neoplasm Metastasis*;
Paraparesis;
Sphenoid Sinus*;
Spinal Cord Neoplasms;
Spinal Cord*;
Spine;
Syringomyelia*;
Urinary Retention
- From:Journal of the Korean Society for Therapeutic Radiology
1996;14(1):61-68
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Primary sphenoid carcinoma is rare. It accounts for 0.3% of all primary paranasal sinus malignancies. Because of the rarity of sphenoid carcinoma, large series of patients with outcome and survival statistics are currently unavailable. So we followed up the 1 case of sphenoid sinus carcinoma treated in our hospital and reported the course of the disease. METHODS AND MATERIALS : In a review of case reports and small series of patients, 2-year survival was 7%. Our case is alive at 29 months after diagnosis of sphenoid sinus carcinoma. Intramedullary spinal cord metastasis (ISCM) is an unusual complication of cancer. In our case rapidly progressive paraparesis and urinary retention developed at 25 months after diagnosis of sphenoid sinus carcinoma. MRI of the thoracic spines showed the intramedullary spinal cord tumor mass at T3 and T4 level with accompanying syringomyelia.Here we report a case of ISCM associated with syringomyelia which has developed after primary sphenoid sinus carcinoma with a review of literature about the clinical behavior and treatment of this lesion.
