ecancermedicalscience

Case Report

Late metastasis to macroscopically normal paranasal sinuses from breast cancer

21 Mar 2013
James Johnston, Michael George, Petros D Karkos, Rhagav C Dwivedi, Samuel C Leong

Background: Breast cancer can very rarely result in late metastases to the paranasal sinuses.

Methods and results: We present a 75-year-old woman who developed sinonasal symptoms mimicking sinusitis 20 years after receiving a breast cancer diagnosis. Rigid nasendoscopy was unremarkable, but due to persistent unilateral nasal symptoms and suspicious radiological findings, the patient underwent endoscopic biopsies of macroscopically normal sinuses which confirmed metastatic breast cancer.

Conclusions: High suspicion index, a thorough history, and examination are of paramount importance as metastases to the sinuses from breast cancer can occur even 20 years after diagnosis.

Related Articles

Sonali Bagal, Atul Budukh, Jarnail Singh Thakur, Tapas Dora, Burhanuddin Qayyumi, Divya Khanna, Dolorosa Fernandes, Priyal Chakravarti, Ravikant Singh, Suvarna Patil, Rajesh Dikshit, Pankaj Chaturvedi
Lucas Avondet, Roque Adan, Barbara M Berenstein, Gonzalo Zeballos, Nicole Brasquet, Ángeles Da Silva, Candela Bazan, Gisela Coliva, Ximena Garcia
Josepmilly del Valle Peña Colmenares, Carmen Cristina García, Yazmin José Velásquez Velásquez, Leider Arelis Campos Pino, Álvaro Gómez Rodríguez, Wladimir José Villegas Rodríguez, David José González Vargas, Douglas José Angulo Herrera