Question: A 42 year old female is seen for an incidentally discovered lesion in the right sphenoid sinus during a workup for headache. CT reveals opacification of the right sphenoid, bowing of the intersinus septum to the left, and areas of bony destruction. She has a history of malignancy. Which of the following cancers is most likely to metastasize to the sphenoid?

a) Breast

b) Myeloma

c) Melanoma

d) Rhabdomyosarcoma

[Answer will be posted with next week's new question]

Answer to last week's question, “Face Value” (June 1, 2020)

B - Tumor resection and interposition nerve grafting would likely yield House-Brackmann grade 6 facial function because the paralysis occurred more than 18 months ago.