Sphenoid wing metastasis of prostate cancer: a rare case

Year 2022, Volume: 17 Issue: 2, 104 - 108, 30.06.2022

Fatih Akdemir

https://doi.org/10.33719/yud.2022;17-2-1034464

Abstract

ABSTRACT
A sphenoid metastasis of prostate cancer is an extremely rare occurrence and it is not an expected finding especially in the initial presentation. It is difficult to demonstrate the metastasis on skull base. Sometimes, it may yield neurological and vision problems, and can be easily omitted by clinician. When prostate carcinoma is accompanied by neurological and vision problems, one should keep in mind that these may be related to intracranial metastasis, and should perform necessary imaging studies. Patients with symptoms due to intracranial metastasis can take palliative radiotherapy but prognosis is generally poor. In this report, we discussed a 75 years-old patient with prostate cancer and sphenoid metastasis under the light of current literature.

Keywords

Prostate cancer , Sphenoid bone , Metastasis

Prostat kanserinin sfenoid kemik metastazı: nadir bir olgu

Abstract

ÖZET
Prostat kanserinin sfenoid kanat metastazı son derece nadir bir durum olup özellikle ilk başvuru anında beklenen bir bulgu değildir. Kafa tabanı kemiklerine olan metastazların gösterilmesi güç bir durumdur. Bu durum bazen nörolojik ve görme ile ilgili problemlere sebep olabildiği için klinisyen tarafından kolaylıkla atlanabilir. Prostat karsinomunun nörolojk veya görme ile ilgili semptomlara eşlik ettiği durumlarda intrakranial metastaz olabileceği hatırlanarak gerekli görüntülemeler yapılmalıdır. İntrakranial metastaza bağlı semptomu olan hastalara palyatif radyoterapi uygulanabilmesine rağmen hastalığın prognozu çoğunlukla kötüdür. Biz bu yazımızda sfenoid kanat metastazı tespit edilen 75 yaşındaki prostat kanserli olguyu literatürü de gözden geçirerek tartıştık.

Keywords

Prostat kanseri , Sfenoid kemik , Metastaz

References

• 1-Lindsberg PJ, Tatlisumak T, Tienari J, Brander A. Bilateral sphenoid wing metastases of prostate cancer presenting with extensive brain edema. Eur J Neurol. 1999 May;6(3):363-6.
• 2-Long MA, Husband JE. Features of unusual metastases from prostate cancer. Br J Radiol. 1999;72:933-41.
• 3-Bourlon MT, Glode LM, Crawford ED.Base of the skull metastases in metastatic castration-resistant prostate cancer. Oncology 2014;28:1115-6.
• 4-Fortson JK, Bezmalinovic ZL, Moseley DL. Bilateral ethmoid sinusitis with unilateral proptosis as an initial manifestation of metastatic prostate carcinoma. J Natl Med Assoc. 1994 ;86(12):945-8
• 5-Lynes W, Bostwick D, Freiha F, Stamey TA. Parenchymal brain metastases from adenocarcinoma of prostate. Urology 1986;28:280-7
• 6-Flocks RH, Boatman DL. Incidence of head and neck metastases from genito-ürinary neoplasm. Laryngoscope. 1973;83:1527-39
• 7-Gupta A, Baidas S, Cumberlin RK. Brain stem metastasis as the only site of spread in prostate carcinoma. A case report. Cancer. 1994: 1;74(9):2516-9
• 8-Saitoh H, Hida M, Shimbo T, Nakamura K, Yamagata J, Satoh T. Metastatic patterns of prostatic cancer. Correlation between sites and number of organs involved. Cancer. 1984 15;54(12):3078-84.
• 9-Stark AM, Eichmann T, Mehdorn HM. Skull metastases: clinical features, differential diagnosis, and review of the literature. Surg Neurol. 2003;60:219-25; discussion 225-6.
• 10-Obek C, Kural AR, Yaycioğlu O, Kendiroğlu G, Solok V. Metastatic adenocarcinoma of the prostate to the uvea as a initial presenting symptom in a 49-year-old man.Urology. 2001;58:106.
• 11-De Potter P, Shields CL, Shields JA, Tardio DJ. Uveal metastasis from prostate carcinoma. Cancer. 1993;71:2791-6.
• 12-Dieckert JP, Berger BB. Prostatic carcinoma metastatic to chroid. Br J Ophthalmol. 1982;66:234-9.
• 13-Uluocak N, Parlaktas BS, Deniz FE, Erdemir F, Köseoğlu RD, Gedar MOOrbital metastasis of prostate cancer: a case report. Kaohsiung J Med Sci. 2007;23:199-202.
• 14-Günalp I, Gündüz K.Metastatic orbital tumors. Jpn J Ophthalmol 1995;39:65-70
• 15-Mitsuya K, Nakasu Y, Horiguchi S, Harada H, Nishimura T, Yuen S, Asakura K, Endo M. Metastatic skull tumors: MRI features and a new conventional classification. J Neurooncol. 2011;104:239-245.
• 16-Ransom DT, Dinapoli RP, Richardson RL. Cranial nerve lesions due to base of the skull metastases in prostate carcinoma. Cancer. 1990;65:586-9.