右篩骨洞,蝶形骨洞に初発したBurkitt腫瘍の1例

概要

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A 4-year-old boy complained of nausea, vomiting, right exophthalmus, and right oculomotor palsy due to a right ethmoidosphenoidal sinus tumor, which invaded the orbit and the middle cranial fossa. The tumor showed a "starry sky appearance" microscopically. The patient received anticancer drugs and radiotherapy. Three months after the initial treatment, tumor cells appeared in the peripheral blood and bone marrow, and they were found to be of L3 Burkitt-type and IgM λ-type B cells. The diagnosis was made of Burkitt's tumor in the right ethmoidosphenoidal sinus, followed by leukemia, which was rated to be stage 4 and la.Three months later, the patient died. Permission to autopsy was not obtained.
耳鼻咽喉科臨床学会の論文