Bell’s Palsy in a Treated Case of Breast Cancer—a Rare Presentation of Recurrence

  • Sumit Kumar
  • Shalini Verma
  • Prashanth Giridhar
  • Ravi Hari Phulware
  • Adarsh Barwad
  • Ritesh KumarEmail author
Case Report


Bell’s palsy is a condition in which the muscles on one side of face become weak or paralyzed. It is usually temporary and is believed to be due to viral infections [1]. Bell’s palsy as the only symptom in oncologic patients is rare and has been reported in association with chemotherapy administration [2], as a first sign of recurrence in leukemia [3] and very rarely as the first sign of malignancy in breast cancer patients [4]. We here in present a case of treated breast cancer who developed unilateral facial nerve paralysis on follow-up and was subsequently diagnosed to have recurrence.

Case Report

A 29-year-old pre-menopausal female presented with left otalgia and left facial weakness of 2 months duration. She had completed her treatment for locally advanced breast cancer (cT4bN2bM0) 3 months back consisting of neoadjuvant chemotherapy with 4 cycles of 5-fluorouracil, epirubicin, and cyclophosphamide, and four cycles of docetaxel followed by left modified radical...


Compliance with Ethical Standards

Informed Consent

Informed consent was obtained from a participant in the presence of two neutral witnesses.

Conflict of Interest

The authors declare that they have no conflict of interest.


The authors have nothing to disclose.


  1. 1.
    Abdel-Aziz M, Azab NA, Khalifa B et al (2015) The association of Varicella zoster virus reactivation with Bell’s palsy in children. Int J Pediatr Otorhinolaryngol 79(3):328–331CrossRefGoogle Scholar
  2. 2.
    Minatani N, Kosaka Y, Sengoku N et al (2013) A case of facial nerve palsy induced by nab-paclitaxel. Gan To Kagaku Ryoho 40(12):2375–2377PubMedGoogle Scholar
  3. 3.
    Chiang LY, Crawford JR, Kuo DJ (2017) Unilateral facial nerve palsy as an early presenting symptom of relapse in a paediatric patient with acute lymphoblastic leukaemia. BMJ Case Rep 10:2017Google Scholar
  4. 4.
    Hosseini M, Vafaei E, Asghari A et al (2016) Bell’s palsy as a rare first presentation of breast cancer. Arch Breast Cancer 3(2):66–69Google Scholar
  5. 5.
    Streitmann MJ, Sismanis A (1996) Metastatic carcinoma of the temporal bone. Am J Otolaryngol 17(5):780–783Google Scholar
  6. 6.
    Cumberworth VL, Friedmann I, Glover GW (1994) Late metastasis of breast carcinoma to the external auditory canal. J Laryngol Otol 108:808–810CrossRefGoogle Scholar
  7. 7.
    Gloria-Cruz TI, Schachern PA, Paparella MM et al (2000) Metastases to temporal bones from primary nonsystemic malignant neoplasms. Arch Otolaryngol Head Neck Surg 126(2):209–214CrossRefGoogle Scholar
  8. 8.
    Streitmann M, Sismanis A (1996) Metastatic carcinoma of the temporal bone. Am J Otolaryngol 17:780–783Google Scholar
  9. 9.
    Hill BA, Kohut RI (1976) Metastatic adenocarcinoma of the temporal bone. Arch Otolaryngol 102:568–571CrossRefGoogle Scholar
  10. 10.
    Schuknecht HF, Allam AF, Murakami Y (1968) Pathology of secondary malignant tumors of the temporal bone. Ann Otol Rhinol Laryngol 77:5–22CrossRefGoogle Scholar
  11. 11.
    Hoshino T, Hiraide F, Nomura Y (1972) Metastatic tumour of the inner ear: a histopathologic report. J Laryngol Otol 86:697–707CrossRefGoogle Scholar
  12. 12.
    Nakamura M, Kaga K, Ohira Y (1996) Metastatic hypopharyngeal carcinoma to the temporal bone. Eur Arch Otorhinolaryngol 253:185–188CrossRefGoogle Scholar
  13. 13.
    Janus SC, Djalilian HR, Levine SC et al (2002) Radiology Quiz Case 1. Otitis interna carcinomatosa. Arch Otolaryngol Head Neck Surg 128:1213–1217CrossRefGoogle Scholar
  14. 14.
    Lan M, Shiao A, Li W (2004) Facial paralysis caused by metastasis of breast carcinoma to the temporal bone. J Chin Med Assoc 67(11):587–590PubMedGoogle Scholar
  15. 15.
    Hellier WPL, Crockard HA, Cheesman AD (1997) Metastatic carcinoma of the temporal bone presenting as glomus jugulare and glomus tympanicum tumours: a description of 2 cases. J Laryngol Otol 111:963–966CrossRefGoogle Scholar

Copyright information

© Indian Association of Surgical Oncology 2020

Authors and Affiliations

  1. 1.Department of Radiation OncologyAll India Institute of Medical SciencesNew DelhiIndia
  2. 2.Department of Radiation Oncology, National Cancer InstituteAll India Institute of Medical SciencesBadsaIndia
  3. 3.Department of PathologyAll India Institute of Medical SciencesNew DelhiIndia

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