Metástasis no osteoblástica rinosinusal y orbitaria por adenocarcinoma de próstata

Q3 Medicine

Archivos De La Sociedad Espanola De Oftalmologia Pub Date : 2024-12-01 DOI:10.1016/j.oftal.2024.08.005

N.C. Pereyra , L.G. Otonelli , M.A. Arriaga , L.L. Iacono , M.L. Braccia Gancedo , L. Sarotto

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Abstract

Background

Bone metastases due to prostate adenocarcinoma usually present osteoblastic characteristics on the imaging modalities.

Method

Case report.

Results

A 77-year-old patient diagnosed with prostate adenocarcinoma with osteoblastic metastases in the dorsal spine and ribs, empirically treated with decongestants for symptoms associated with nasal polyposis, presented with binocular diplopia and ptosis of the right eyelid. Painful ophthalmoplegia and ipsilateral frozen orbit were observed. The CT confirmed the presence of a soft tissue density neoformation infiltrating the paranasal sinuses spreading towards to the base of the skull and extraocular muscles. Biopsy by endoscopic sinus surgery triggered the diagnosis of metastasis.

Conclusions

Regardless of the characteristics seen on the imaging modalities, onset in other organs and systems in patients with a history of prostate adenocarcinoma should prompt the histopathological study of the lesions.

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前列腺腺癌引起的鼻鼻窦和眼眶非成骨细胞转移

背景：前列腺癌引起的骨转移在影像学上通常表现为成骨细胞特征。MethodCase报告。结果患者77岁，诊断为前列腺腺癌伴脊柱背侧及肋骨成骨细胞转移，经减充血剂治疗鼻息肉病相关症状，表现为双眼复视及右眼睑上睑下垂。观察到疼痛性眼麻痹和同侧眼眶冻结。CT证实软组织密度瘤浸润鼻窦，向颅底及眼外肌扩散。内窥镜鼻窦手术活检触发转移的诊断。结论：无论影像学表现如何，有前列腺癌病史的患者在其他器官和系统的发病应提示对病变进行组织病理学研究。

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来源期刊

Archivos De La Sociedad Espanola De Oftalmologia Medicine-Ophthalmology

CiteScore

1.20

自引率

0.00%

发文量

109

审稿时长

78 days

期刊介绍： La revista Archivos de la Sociedad Española de Oftalmología, editada mensualmente por la propia Sociedad, tiene como objetivo publicar trabajos de investigación básica y clínica como artículos originales; casos clínicos, innovaciones técnicas y correlaciones clinicopatológicas en forma de comunicaciones cortas; editoriales; revisiones; cartas al editor; comentarios de libros; información de eventos; noticias personales y anuncios comerciales, así como trabajos de temas históricos y motivos inconográficos relacionados con la Oftalmología. El título abreviado es Arch Soc Esp Oftalmol, y debe ser utilizado en bibliografías, notas a pie de página y referencias bibliográficas.