원발성 접형동암

Primary Carcinoma of the Sphenoid Sinus

  • 금기창 (연세대학교 의과대학 연세암센터, 방사선종양학과) ;
  • 오영택 (아주대학교 방사선종양학과) ;
  • 김귀언 (연세대학교 의과대학 연세암센터, 방사선종양학과) ;
  • 박희철 (연세대학교 의과대학 연세암센터, 방사선종양학과) ;
  • 장세경 (연세대학교 의과대학 연세암센터, 방사선종양학과) ;
  • 이창걸 (연세대학교 의과대학 연세암센터, 방사선종양학과) ;
  • 김세헌 (연세대학교 의과대학 연세암센터, 이비인후과학교실) ;
  • 김영호 (연세대학교 의과대학 연세암센터, 이비인후과학교실) ;
  • 이원상 (연세대학교 의과대학 연세암센터, 이비인후과학교실) ;
  • 홍원표 (연세대학교 의과대학 연세암센터, 이비인후과학교실)
  • Keum Ki-Chang (Departments of Radiation Oncology, Yonsei Cancer Center, Yonsei University College of Medicine) ;
  • Oh Young-Taek (Department of Radiation Oncology, Ajou University) ;
  • Kim Gwi-Eon (Departments of Radiation Oncology, Yonsei Cancer Center, Yonsei University College of Medicine) ;
  • Park Hee-Chul (Departments of Radiation Oncology, Yonsei Cancer Center, Yonsei University College of Medicine) ;
  • Chang Sei-Kyung (Departments of Radiation Oncology, Yonsei Cancer Center, Yonsei University College of Medicine) ;
  • Lee Chang-Geol (Departments of Radiation Oncology, Yonsei Cancer Center, Yonsei University College of Medicine) ;
  • Kim Se-Heon (Departments of Otolaryngology, Yonsei Cancer Center, Yonsei University College of Medicine) ;
  • Kim Young-Ho (Departments of Otolaryngology, Yonsei Cancer Center, Yonsei University College of Medicine) ;
  • Lee Won-Sang (Departments of Otolaryngology, Yonsei Cancer Center, Yonsei University College of Medicine) ;
  • Hong Won-Pyo (Departments of Otolaryngology, Yonsei Cancer Center, Yonsei University College of Medicine)
  • 발행 : 1996.11.01

초록

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.

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