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

Mohammad Saad Salim Naviwala, Mirza Rameez Samar, Daania Shoaib, Fizza Akbar, Romana Idrees, Yasmin Abdul Rashid
Joseph Daniels, Leroy Baffoe-Krapim, Andrew Yaw Nyantakyi, Edwina Ayaaba Ayabilah, Judith Naa Odey Tackie, Kofi Adesi Kyei
Isabel Saffie-Vega, Sergio Muñoz-Navarro, Macarena Manríquez-Mimica, Jorge Sapunar-Zenteno
Raúl Sandoval-Ato, Patricia Coral-Gonzales, Sebastian Coronel-Arias, Luisa Espinoza-Mantilla, Grace Terrones-Chaparro, Victor Serna-Alarcón