We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
A case of obstructive sleep apnea syndrome caused by malignant melanoma in the nasal cavity and paranasal sinus.
- Authors
Asai, Nobuhiro; Ohkuni, Yoshihiro; Kawamura, Yasutaka; Kaneko, Norihiro
- Abstract
A 71 year-old obese woman complained of obstructive sleep apnea syndrome (OSAS) related symptoms. The apnea-hypopnea index (AHI) was 73.5/hour. She presented with nasal bleeding to an ENT doctor. A mass on the nasal septum was seen and biopsy was performed. Histological confirmation showed malignant melanoma. The tumor stage proved to be cT4aN2M1 (stage IV) due to multiple metastatic lesions. After palliative irradiation, the nasal tumor was reduced in size and her symptoms of OSAS were improved. The second AHI revealed 13.5/hour. This case was considered to be OSAS caused by a tumor obstructing the nasal cavity. This might suggest the necessity of routine work-up of the upper airway in cases of patients with sleep disorder. Otherwise, OSAS caused by such obstruction might be missed. We report a very rare case with secondary OSAS caused by malignant melanoma in the nasal cavity and paranasal sinus.
- Subjects
SLEEP apnea syndromes; HEMORRHAGE; BIOPSY; MELANOMA; TISSUE wounds; IRRADIATION; PATIENTS
- Publication
Journal of Cancer Research & Therapeutics, 2013, Vol 9, Issue 2, p276
- ISSN
0973-1482
- Publication type
Article
- DOI
10.4103/0973-1482.113384