Annals of medicine and surgery (2012) · 2025
Lateral skull base metastasis from cervical adenocarcinoma: the masquerading trespasser - a case report.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
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M Kodeeswaran, Naveen Kumar M, Hemanth Kumar S, Rajanandhini R, Thamizharasan P, Muthuchitra S, K P Priyadharshan, Jamila A, Chaurasia Bipin
Аннотация
BACKGROUND: Metastatic lesions of the lateral skull base are rare and often diagnostically challenging, especially when originating from cervical adenocarcinoma - a malignancy not commonly associated with skull base involvement.
CASE PRESENTATION: We report the case of a 52-year-old postmenopausal woman who presented with right-sided facial nerve palsy, tongue deviation, and multiple cranial nerve deficits. Clinical examination and imaging suggested a skull base mass involving the jugular foramen, petrous bone, and hypoglossal canal. Radiological evaluation revealed a soft tissue lesion with limited vascularity, and a provisional diagnosis of metastatic cervical adenocarcinoma was made. Surgical excision using a transmastoid transcervical (Fisch Type A) approach confirmed metastatic adenocarcinoma. A postoperative FDG-PET scan showed no residual or distant disease.
CLINICAL DISCUSSION: This case highlights an unusual metastatic route of cervical adenocarcinoma and emphasizes the need for thorough systemic evaluation in patients presenting with atypical cranial neuropathies.
CONCLUSION: Early diagnosis and targeted intervention can improve outcomes, even in rare metastatic scenarios.
CASE PRESENTATION: We report the case of a 52-year-old postmenopausal woman who presented with right-sided facial nerve palsy, tongue deviation, and multiple cranial nerve deficits. Clinical examination and imaging suggested a skull base mass involving the jugular foramen, petrous bone, and hypoglossal canal. Radiological evaluation revealed a soft tissue lesion with limited vascularity, and a provisional diagnosis of metastatic cervical adenocarcinoma was made. Surgical excision using a transmastoid transcervical (Fisch Type A) approach confirmed metastatic adenocarcinoma. A postoperative FDG-PET scan showed no residual or distant disease.
CLINICAL DISCUSSION: This case highlights an unusual metastatic route of cervical adenocarcinoma and emphasizes the need for thorough systemic evaluation in patients presenting with atypical cranial neuropathies.
CONCLUSION: Early diagnosis and targeted intervention can improve outcomes, even in rare metastatic scenarios.