顔面神経麻痺を初発症状とした肝細胞癌側頭骨転移の一症例

概要

論文の詳細を見る
Bell's palsy as idiopathic is in about 60% of patients with peripheral facial nerve palsy. Therefore, peripheral facial palsy is often diagnosed as Bell's palsy. However, the peripheral facial palsy can be caused by severe diseases such as carcinoma, and is important to deal with carefully.<BR>This pap e r reports the case of a 75-year-old male with facial nerve palsy. He also suffered from tinnitus, difficulty in swallowing, and left occipitalgia. Clinical examinations revealed that the facial palsy originated from temporal bone metastasis of hepato-cellular carcinoma. As therapy, the metastatic lesion was irradiated. The headache was relieved and the swallowing disturbance was also fairly improved. Even in primary hepatoma, palliative radiation therapy to the metastatic focus might be useful in view of the patient's quality of Life.<BR>Temporal bone metastases are seldom reported, and metastasis of hepatocellular carcinoma is very rare even in the literature. In this case, not only biopsy results, but also both imagings and tumor marker played an important role.
耳鼻咽喉科臨床学会の論文