RESUMO
A 37-year-old man presented with fever, decreased vision in the left eye, a partial left cranial nerve III paresis, and a left cranial nerve VI paresis. Neuro-imaging showed an opacification of a left pneumatised anterior clinoid process. After failing a course of intravenous antibiotics, a craniotomy was performed with exenteration of the cavity and resolution of symptoms. Although rare, a pyocele of a pneumatised anterior clinoid process may cause ocular morbidity and require surgical intervention.
Assuntos
Doenças do Nervo Abducente/etiologia , Antibacterianos/administração & dosagem , Craniotomia/métodos , Mucocele , Doenças do Nervo Oculomotor/etiologia , Osso Esfenoide , Supuração/fisiopatologia , Doenças do Nervo Abducente/fisiopatologia , Adulto , Humanos , Imageamento por Ressonância Magnética/métodos , Masculino , Mucocele/complicações , Mucocele/diagnóstico , Mucocele/fisiopatologia , Doenças do Nervo Oculomotor/fisiopatologia , Osso Esfenoide/patologia , Osso Esfenoide/fisiopatologia , Tomografia Computadorizada por Raios X/métodos , Resultado do TratamentoRESUMO
Cystosarcoma phyllodes is a rare breast tumor with variable malignant potential. Metastasis has been reported in a small percentage of cases. We describe the case of a 52-year-old woman who developed a large facial tumor 1 year after she had undergone a mastectomy for a rapidly enlarging breast neoplasm. The facial lesion was found to be a malignant cystosarcoma phyllodes metastatic to the mandible, and the patient died shortly after diagnosis. To our knowledge, this patient represents only the third reported case of a phyllodes tumor metastatic to the mandible.