1997 Volume 58 Issue 2 Pages 316-320
A 62-year-old man was referred to the hospital for tears of the left eye lasting since January, 1994. A tumor in the left paranasal cavity was revealed by CT, therefore the patient was admitted to the department of otolaryngology in our hospital. The diagnosis obtained from an open biopsy of the left ethomoid sinus was malignant fibrous histiocytoma (MFH). While neo-adjuvant chemotherapy (FEMP) was done, GTF was performed for upper abdominal discomforts and we found a 4 cm-sized tubercular lesion at the side of the greater curvature of the body of the stomach. The diagnosis of MFH was made by a biopsy. 67Ga scintigraphy visualized abnormal uptakes at the left paranasal cavity and left upper abdomen (stomach). After a resection of the primary tumor was carried out at the dapartment of neurosurgery, he changed to the first department of surgery and a distal gastrectomy was performed. There has been only one case of metastatic gastric tumor of primary paranasal MFH as far as we could search in the Japanese literature.
