Cavernous Sinus Metastasis of Non-Small Cell Lung Cancer.

Ahn, Young; Yang, Jae Hyun; Kim, Hyung Jin; Jang, Sang Eon; Jang, Young Joo; Kim, Hye Ryoun; Kim, Cheol Hyeon; Choi, Sang Yul; Lee, Jae Cheol

doi:2010.69.5.381

Tuberc Respir Dis > Volume 69(5); 2010 > Article

Case Report

Tuberculosis and Respiratory Diseases 2010;69(5):381-384.
DOI: https://doi.org/10.4046/trd.2010.69.5.381 Published online November 1, 2010.

Cavernous Sinus Metastasis of Non-Small Cell Lung Cancer.

Young Ahn, Jae Hyun Yang, Hyung Jin Kim, Sang Eon Jang, Young Joo Jang, Hye Ryoun Kim, Cheol Hyeon Kim, Sang Yul Choi, Jae Cheol Lee

¹Department of Internal Medicine, Korea Cancer Center Hospital, Seoul, Korea. jclee@kcch.re.kr
²Department of Opthalmology, Korea Cancer Center Hospital, Seoul, Korea.

Abstract

Progressive ptosis and headache developed in a 50-year-old woman with non-small cell lung cancer. Although brain magnetic resonance imaging showed improved cerebellar metastasis after prior radiotherapy without any other abnormality, the follow-up examination taken 6 months later revealed metastasis to the cavernous sinus. The diagnosis of metastasis to the cavernous sinus is often difficult because it is a very rare manifestation of lung cancer, and symptoms can occur prior to developing a radiologically detectable lesion. Therefore, when a strong clinical suspicion of cavernous sinus metastasis exists, thorough neurologic examination and serial brain imaging should be followed up to avoid overlooking the lesion.

Key Words: Lung Neoplasms, Cavernous Sinus, Neoplasm Metastasis