Hostname: page-component-cd9895bd7-q99xh Total loading time: 0 Render date: 2024-12-26T22:04:18.763Z Has data issue: false hasContentIssue false
  • English
  • Français

Sinus involvement in breast cancer: case report

Published online by Cambridge University Press:  22 March 2013

D T Walker ,
S Barbur ,
R Mathew  and
J Hern
D T Walker*
Affiliation:
Department of Otolaryngology, Basingstoke and North Hampshire Hospital, UK
S Barbur
Affiliation:
Department of Otolaryngology, Basingstoke and North Hampshire Hospital, UK
R Mathew
Affiliation:
Department of Otolaryngology, Frimley Park Hospital, UK
J Hern
Affiliation:
Department of Otolaryngology, Frimley Park Hospital, UK
*
Address for correspondence: Mr D T Walker, Department of Otolaryngology, Basingstoke and North Hampshire Hospital, Aldermaston Rd, Basingstoke RG24 9NA, UK E-mail: david.walker9@nhs.net
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

To report a rare and unique presentation of metastatic breast cancer.

Method:

Case report and review of related literature.

Results:

A 62-year-old female with metastatic breast cancer, who had been free from recurrence for 4 years, presented with diplopia secondary to lateral rectus palsy. This was due to a sphenoid sinus metastasis, which was eroding into her cavernous sinus, resulting in VIth cranial nerve neuropathy.

Conclusion:

All paranasal sinuses and the orbit are potential sites for metastases. Spread to the paranasal sinuses from breast cancer has been documented previously. However, we believe this to be the only reported case with lateral rectus palsy as a result of metastasis to the sphenoid sinus in which this was the only evidence of disseminated disease. Otolaryngology clinicians need to consider metastatic disease to the sinuses in patients with a history of neoplasia, but also recognise that tamoxifen treatment can itself cause visual disturbance.

Keywords

Breast NeoplasmsDiplopiaAbducens NerveSphenoid Sinus
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 127 , Issue 6 , June 2013 , pp. 619 - 620
Copyright
Copyright © JLO (1984) Limited 2013 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1Mickel, RA, Zimmerman, MC. The sphenoid sinus–a site for metastasis. Otolaryngol Head Neck Surg 1990;102:709–16CrossRefGoogle ScholarPubMed
2Fyrmpas, G, Televantou, D, Papageorgiou, V, Nofal, F, Constantinidis, J. Unsuspected breast carcinoma presenting as orbital complication of rhinosinusitis. Eur Arch Otorhinolaryngol 2008;265:979–82CrossRefGoogle ScholarPubMed
3Fahmy, P, Heegaard, S, Jensen, OA, Prause, JU. Metastases in the ophthalmic region in Denmark 1969–98. A histopathological study. Acta Ophthalmol Scand 2003;8:47–50CrossRefGoogle Scholar
4Fenton, S, Kemp, EG, Harnett, AN. Screening for ophthalmic involvement in asymptomatic patients with metastatic breast carcinoma. Eye 2004;18:38–40CrossRefGoogle ScholarPubMed
5Austin, JR, Kershiznek, MM, McGill, D, Austin, SG. Breast carcinoma metastatic to paranasal sinuses. Head Neck 1995;17:161–5CrossRefGoogle ScholarPubMed
6Nayfield, SG, Gorin, MB. Tamoxifen-associated eye disease. J Clin Oncol 1996;14:1018–26CrossRefGoogle ScholarPubMed