KHẢO SÁT CÁC ĐẶC ĐIỂM HÌNH ẢNH HỌC, LÂM SÀNG CỦA UNG THƯ HÀM SÀNG XÂM LẤN NÃO (SÀN SỌ TRƯỚC) TẠI BỆNH VIỆN CHỢ RẪY TỪ NĂM 2016 ĐẾN NĂM 2021

Abstract

Background: Brain Invasion is unusual in patients with malignant tumor of maxillo-ethmoidal region. Radiologic imaging and clinical features are essential component for prognostic evaluation and surgical planning. Objectives: Investigate diagnostic imaging and clinical features malignancies of maxilla-ethmoid complex invading the brain (anterior skull base). Method: Retrospective case report of 35 patients diagnosed with malignancies of maxilla-ethmoid complex at Cho Ray Hospital from 2016 to 2021. Results: There were 19 (54,3%) males and 16 (45,7%) females. The ages ranged from 21 to 69 years with a mean age of 48,2 years. The five most commonly seen clinical presentations were headache (74,3%), nose blockage (68,6%), epistaxis (34,2%), proptosis (22,9%) and visual impairment (20%). CT-Scan and MRI result showed that these tumors invasion into orbit (42,9%), dural (34,3%) and brain parenchyma (48,6%). Conclusion: Headache, nose blockage, epistaxis, proptosis and visual impairment  are five most commonly seen clinical features of maxilla- ethmoid complex cancers which invasion into the brain. CT-scan and MRI have an important role in early diagnosis as well as tumor extension evaluation.