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Journal of Korean Neurosurgical Society 2003;33(2): 214-217.
Minor Salivary Gland Carcinoma Extending to Intracranial, Retroorbital and Sinonasal Cavity: Case Report.
Hyeok Soo Kim, Sang Koo Lee, Kwan Young Song, Dong Soo Kang
Department of Neurosurgery, Kangnam General Hospital, Public Corporation, Seoul, Korea.
ABSTRACT
We report a case of huge minor salivary gland carcinoma extending to intracranial, retroorbital and sinonasal cavities. The patient was a 51-year-old man who had progressive nasal obstruction, decreased visual acuity and headache. Brain computed tomography and magnetic resonance image revealed a huge heterogeneous enhancing mass with extensive bony destruction originating from right maxillary sinus and both nasal cavities to the frontal base structures. The tumor mass was approached by a craniofacial route and subtotal removal was done because of its marked invasion of cavernous sinus, parasellar structures and hypothalamus. The histological diagnosis was minor salivary gland adenocarcinoma.
Key Words: Minor salivary gland carcinoma; Craniofacial approach
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