Pterygopalatine fossa metastasis with severe trigeminal

Auris, nasus, larynx · Feb 2017

Case Reports

Pterygopalatine fossa metastasis with severe trigeminal neuralgia from neuroendocrine carcinoma of the breast.

A 57-year-old woman presented to our department with a 2-month history of pain and paresthesia on the left side of the face 12 years after having undergone surgery for breast cancer. We performed an endoscopic biopsy and diagnosed metastatic breast cancer to the pterygopalatine fossa. ⋯ A literature search shows only one case of metastatic breast cancer with severe trigeminal neuralgia located in the V2 division of the trigeminal nerve area. Metastatic disease should be considered part of the differential diagnosis in patients presenting with trigeminal neuropathy.

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- Taro Takanami, Yasushi Ota, and Mitsuya Suzuki.
- Department of Otolaryngology, Sanraku Hospital, Kandasurugadai 2-5, Chiyoda, Tokyo 101-0622, Japan; Department of Otolaryngology, Toho University Sakura Medical Center, Shimoshizu 564-1, Sakura, Chiba 285-8741, Japan. Electronic address: taroyokomanya48@yahoo.co.jp.
- Auris Nasus Larynx. 2017 Feb 1; 44 (1): 131-133.
AbstractA 57-year-old woman presented to our department with a 2-month history of pain and paresthesia on the left side of the face 12 years after having undergone surgery for breast cancer. We performed an endoscopic biopsy and diagnosed metastatic breast cancer to the pterygopalatine fossa. There has been no recurrence for two years since the metastatic tumor was treated by radiation therapy. A literature search shows only one case of metastatic breast cancer with severe trigeminal neuralgia located in the V2 division of the trigeminal nerve area. Metastatic disease should be considered part of the differential diagnosis in patients presenting with trigeminal neuropathy.Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

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Pterygopalatine fossa metastasis with severe trigeminal neuralgia from neuroendocrine carcinoma of the breast.

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