ABSTRACT
A 37-year-old man presented with fever, decreased vision in the left eye, a partial left cranial nerve III paresis, and a left cranial nerve VI paresis. Neuro-imaging showed an opacification of a left pneumatised anterior clinoid process. After failing a course of intravenous antibiotics, a craniotomy was performed with exenteration of the cavity and resolution of symptoms. Although rare, a pyocele of a pneumatised anterior clinoid process may cause ocular morbidity and require surgical intervention.
Subject(s)
Abducens Nerve Diseases/etiology , Anti-Bacterial Agents/administration & dosage , Craniotomy/methods , Mucocele , Oculomotor Nerve Diseases/etiology , Sphenoid Bone , Suppuration/physiopathology , Abducens Nerve Diseases/physiopathology , Adult , Humans , Magnetic Resonance Imaging/methods , Male , Mucocele/complications , Mucocele/diagnosis , Mucocele/physiopathology , Oculomotor Nerve Diseases/physiopathology , Sphenoid Bone/pathology , Sphenoid Bone/physiopathology , Tomography, X-Ray Computed/methods , Treatment OutcomeABSTRACT
Cystosarcoma phyllodes is a rare breast tumor with variable malignant potential. Metastasis has been reported in a small percentage of cases. We describe the case of a 52-year-old woman who developed a large facial tumor 1 year after she had undergone a mastectomy for a rapidly enlarging breast neoplasm. The facial lesion was found to be a malignant cystosarcoma phyllodes metastatic to the mandible, and the patient died shortly after diagnosis. To our knowledge, this patient represents only the third reported case of a phyllodes tumor metastatic to the mandible.
