Primary Carcinoma of the Sphenoid Sinus

Korean Journal of Head & Neck Oncology 1996;12(2):212-216.
Published online November 30, 1996.

Ki Chang Keum;Young Taek Oh;Gwi Eon Kim;Hee Chul Park;Sei Kyung Chang;Chang Geol Lee;Se Heon Kim;Young Ho Kim;Won Sang Lee;Won Pyo Hong

원발성 접형동암

금기창;오영택;김귀언;박희철;장세경;이창걸;김세헌;김영호;이원상;홍원표

Abstract

Four cases of sphenoid sinus carcinoma have been observed for last 10 years and we reviewed English literatures about sphenoid sinus carcinoma. The sphenoid sinus carcinoma is rare and the diagnosis is difficult. In the early stage, the non-specific deep constant headache is the only symptom but if the sinus wall is penetrated, the neuro-ophthalmologic symptoms and signs may appear. The extension of lesion is identified by radiologic imaging and the diagnosis requires direct biopsy. In case of deep constant headache combined with neuro-ophthalmologic symptoms and signs the sphenoid sinus carcinoma should be considered. Our small data reveals that the radiation treatment offers a possibility of relatively good outcome, although most of the cases are advanced already on initial diagnosis.

Key Words: Sphenoid sinus carcinoma, Radiation therapy