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