Article

Diagnosis of metastatic carcinoma to the cavernous sinus by computed tomograpy-guided fine-needle aspiration.

Cullen Eye Institute, Department of Ophthalmology, Baylor College of Medicine, Houston, Texas, USA.
American Journal of Ophthalmology (impact factor: 4.22). 12/2004; 138(5):864-6. DOI:10.1016/j.ajo.2004.05.036
Source: PubMed

ABSTRACT To describe a case of metastatic lung carcinoma to the cavernous sinus and orbital apex diagnosed by fine-needle aspiration guided by computed tomography.
Case report.
A 52-year-old man who presented with right-sided ptosis and ophthalmoplegia was found to have an enhancing mass of the right orbital apex and cavernous sinus extending into the temporal fossa on magnetic resonance imaging. Chest computed tomography revealed hilar adenopathy and a lesion of the right lower lobe of the lung. Bronchial washings and transbronchial needle biopsies of the lung were nondiagnostic. Computed tomography-guided fine-needle aspiration of the temporal fossa portion of the mass was performed.
Biopsy of the mass showed malignant cells consistent with metastatic non-small cell lung carcinoma.
Computed tomography-guided fine-needle aspiration can be useful in the diagnosis and management of some masses involving the cavernous sinus.

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Keywords

52-year-old man
 
Biopsy
 
Bronchial washings
 
Case report
 
cavernous sinus
 
Chest computed tomography
 
computed tomography
 
Computed tomography-guided fine-needle aspiration
 
fine-needle aspiration
 
hilar adenopathy
 
lower lobe
 
magnetic resonance imaging
 
masses
 
metastatic lung carcinoma
 
metastatic non-small cell lung carcinoma
 
right-sided ptosis
 
temporal fossa
 
temporal fossa portion
 
transbronchial needle biopsies