Prostat kanserinin sfenoid kemik metastazı: nadir bir olgu

ÖZET Prostat kanserinin sfenoid kanat metastazı son derece nadir bir durum olup özellikle ilk başvuru anında beklenen bir bulgu değildir. Kafa tabanı kemiklerine olan metastazların gösterilmesi güç bir durumdur. Bu durum bazen nörolojik ve görme ile ilgili problemlere sebep olabildiği için klinisyen tarafından kolaylıkla atlanabilir. Prostat karsinomunun nörolojk veya görme ile ilgili semptomlara eşlik ettiği durumlarda intrakranial metastaz olabileceği hatırlanarak gerekli görüntülemeler yapılmalıdır. İntrakranial metastaza bağlı semptomu olan hastalara palyatif radyoterapi uygulanabilmesine rağmen hastalığın prognozu çoğunlukla kötüdür. Biz bu yazımızda sfenoid kanat metastazı tespit edilen 75 yaşındaki prostat kanserli olguyu literatürü de gözden geçirerek tartıştık.

Anahtar Kelimeler:

Prostat kanseri, Sfenoid kemik, Metastaz

Sphenoid wing metastasis of prostate cancer: a rare case

ABSTRACT A sphenoid metastasis of prostate cancer is an extremely rare occurrence and it is not an expected finding especially in the initial presentation. It is difficult to demonstrate the metastasis on skull base. Sometimes, it may yield neurological and vision problems, and can be easily omitted by clinician. When prostate carcinoma is accompanied by neurological and vision problems, one should keep in mind that these may be related to intracranial metastasis, and should perform necessary imaging studies. Patients with symptoms due to intracranial metastasis can take palliative radiotherapy but prognosis is generally poor. In this report, we discussed a 75 years-old patient with prostate cancer and sphenoid metastasis under the light of current literature.

Keywords:

Prostate cancer, Sphenoid bone, Metastasis,

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