A Case of Posterior Skull Base Adenocarcinoma Metastasized from The Prostate.
- Author:
Hyun Min PARK
1
;
Chung Ku RHEE
;
Chung Seok CHO
Author Information
1. Department of Otolaryngology, College of Medicine, Dankook University, Cheonan, Korea.
- Publication Type:Case Report
- Keywords:
Skull base adenocarcinoma;
Metastasis;
Prostate
- MeSH:
Adenocarcinoma*;
Biopsy;
Cranial Nerves;
Diagnosis;
Headache;
Hoarseness;
Humans;
Neoplasm Metastasis;
Neurologic Manifestations;
Paralysis;
Prostate*;
Skull Base*;
Skull*;
Vocal Cord Paralysis
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
1997;40(2):309-313
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Metastatic tumor of the skull base is uncommon. Diagnosis of the tumor is difficult without any associated evidence of another malignancy. It is distinguished from other benign or primary malignant tumor by rapid progression of symptoms, associated neurologic signs, and lytic or infiltrative lesion in imaging work-up study. Recently authors experienced one case of a posterior skull base adenocarcinoma metastasized from the prostate. Patient's initial complaints were hoarseness and aspiration due to vocal cord paralysis. He also complained of longstanding headache. On examination he had multiple cranial nerve paralyses of CN VII, VIII, X, XI, and XII. Radiologic study showed diffuse skull base lesion. Transmastoid biopsy revealed adenocarcinoma. With thorough examination a prostatic mass was found and proved to be the origin of the metastatic adenocarcinoma after transurethral biopsy. The patient was treated with "Flutamide".
