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An unusual case of laryngeal carcinoma metastasizing to the small intestine

Published online by Cambridge University Press:  29 June 2007

Toshlo Yoshihara*
Affiliation:
Department of Otolaryngology, Tokyo Women's Medical College, 8–1 Kawada-cho, Shinjuku-ku, Tokyo 162, Japan.
Yukie Yamamura
Affiliation:
Department of Otolaryngology, Tokyo Women's Medical College, 8–1 Kawada-cho, Shinjuku-ku, Tokyo 162, Japan.
*
Address for correspondence: Toshio Yoshihara, M.D., Department of Otolaryngology, Tokyo Women's Medical College, 8–1 Kawada-cho, Shinjuku-ku, Tokyo 162, Japan. Fax: 03-5269-7351

Abstract

An unusual case of laryngeal carcinoma metastasizing to the small intestine is reported. The patient was admitted to our hospital due to hoarseness, sore throat and dyspnoea. Pathological examination on the laryngeal mass revealed it to be moderately differentiated squamous cell carcinoma, staged as T4N0M0. A total laryngectomy and right modified neck dissection were performed. Over two years after the operation a small intestinal tumour was found, with a resultant resection of the ileum and sigmoid colon. An infiltration of the cell nests of squamous cell carcinoma were present at the submucosal regions of the ileum. These findings indicated that the laryngeal cancer had already metastasized to the small intestine at the time of the initial treatment.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1997

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References

Airoldi, M., Gabriele, P., Succo, G., Valente, G., Brando, V. (1993) Small bowl metastasis from squamous cell carcinoma of the larynx. A case report. Tumori 79: 286287.CrossRefGoogle Scholar
Arons, M. S., Smith, R. R. (1961) Distant metastases and local recurrence in head and neck cancer. Annals of Surgery 154: 235240.CrossRefGoogle ScholarPubMed
Bresler, L., Corroy, J. S., Bruunet, A., Vidrequin, A., Aymard, B., Boissel, P., Grosdidier, J. (1988) Métastases iléales d'un carcinome épidermoïde de l'épiglotte. Une observation. Presse Medicale 17: 536537.Google Scholar
deCastro, C. A., Dockerty, M. B., Mayo, C. W. (1957) Metastatic tumours of the small intestines. Surgery, Gynecology and Obstetrics 105: 159165.Google Scholar
Farmer, R. G., Hawk, W. A. (1964) Metastatic tumours of the small bowel. Gastroenterology 47: 496504.CrossRefGoogle ScholarPubMed
Francois, E., Santini, J., Macchiavello, J. C., Ferrero, J. M., Monticelli, J., Serra, C., Schneider, M. (1989) Métastases iléale d'un carcinome épidermoïde révélée par une hémorragie digestive. Presse Medicale 18: 1209.Google ScholarPubMed
González, C. I., Garriga, S. J. L., Barbón, R. S., Girón, S. L., López, T. A., Alvarez, Y. V. A. (1994) Perforación yeyunal como manifestación metastásica inicial de carcinoma laríngeo. Revista Espanola de Enfermedades Digestivas 85: 4144.Google Scholar
Hamdan, M., Brunet, P. H., Wagner, J. (1991) Perforation jéjunale métastatique d'un cancer du larynx. Journal de Chirurgie (Paris) 128: 332.Google ScholarPubMed
Kotwell, C., Sako, K., Razack, M. S., Rao, , Uma, , Bakamjian, V., Shedd, D. P. (1987) Metastatic patterns in squamous cell cancer of the head and neck. American Journal of Surgery 154: 439442.CrossRefGoogle Scholar
Merino, O. R., Lindberg, R. D., Fletcher, G. H. (1977) An analysis of distant metastases from squamous cell carcinoma of the upper respiratory and digestive tracts. Cancer 40; 145151.3.0.CO;2-9>CrossRefGoogle ScholarPubMed
Papac, R. J. (1984) Distant metastases from head and neck cancer. Cancer 53: 342345.3.0.CO;2-9>CrossRefGoogle ScholarPubMed
Petiot, J. M., Lehur, P. A., Girard, J. Y., Cuilliere, P., Borgne, L. J. (1991) Double métastase duodénale et jéjunale d'un carcinome épidermoïde du larynx révélée par une double perforation. Gastroenterologie Clinique et Biologique 15: 370371.Google ScholarPubMed
Probert, J. C., Thompson, R. W., Bagshaw, M. A. (1974) Patterns of spread of distant metastases in head and neck cancer. Cancer 33: 127133.3.0.CO;2-L>CrossRefGoogle ScholarPubMed
Rubenfeld, S., Kaplan, G., Holder, A. A. (1962) Distant metastases from head and neck cancer. American Journal of Roentgenology 87: 441448.Google Scholar
Vikram, B., Strong, E. W., Shah, J. P., Spiro, R. (1984) Failure at distant sites following multimodality treatment for advanced head and neck cancer. Head and Neck Cancer 6: 730733.CrossRefGoogle ScholarPubMed