A case of lung adenocarcinoma metastasized to the temporal bone diagnosed by facial nerve paralysis Masayori Masuya 1 1Department of Otolaryngology,School of Graduate Medical School,Hokkaido University pp.1043-1048
Published Date 2011/12/20
DOI https://doi.org/10.11477/mf.1411102026
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 We reported a rare case of the temporal bone metastasis of the lung cancer occurred with the facial nerve paralysis. The patient was diagnosed as peripheral facial nerve paralysis at first hospital visit,and received the systemic steroid therapy. Since the effect was poor,CT and MRI were examined that revealed a tumor in left temporal bone.

 To prepare for the cranial bone biopsy,chest X-ray was taken that showed an abnormal shadow. After a close examination,it was diagnosed as the temporal bone metastasis of the lung adenocarcinoma. The patient received chemoradiothepy for salvage treatment and alive with cancer. Rapid and concrete action after poor response in initial treatment for facial nerve paralysis was important in this case.

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