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Distant muscular (rectus femoris) metastasis from laryngeal squamous cell carcinoma

Published online by Cambridge University Press:  27 May 2009

Y Kulahci ,
F Zor ,
O Onguru ,
M Bozkurt  and
H Duman
Y Kulahci*
Affiliation:
Department of Plastic and Reconstructive Surgery, Gulhane Military Medical Academy Haydarpasa Training Hospital, Istanbul
F Zor
Affiliation:
Department of Plastic and Reconstructive Surgery, Gulhane Military Medical Academy, Ankara
O Onguru
Affiliation:
Department of Pathology, Gulhane Military Medical Academy, Ankara
M Bozkurt
Affiliation:
Department of Plastic and Reconstructive Surgery, Dicle University, Diyarbakir
H Duman
Affiliation:
Department of Plastic and Reconstructive Surgery, Gulhane Military Medical Academy Haydarpasa Training Hospital, Istanbul
*
Address for correspondence: Dr Yalcin Kulahci, Gulhane Military Medical Academy and Medical Faculty, Haydarpasa Training Hospital, Department of Plastic and Reconstructive Surgery, Selimiye Mah Tıbbiye Cad, 34668 Kadıköy, İstanbul, Turkey. Fax: +90 216 348 78 80 E-mail: yakulahci@yahoo.com
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Abstract

Objective:

We report an extremely rare case of distant metastasis to the rectus femoris muscle from a laryngeal squamous cell carcinoma.

Method:

We present a case report and a review of the world literature concerning distant skeletal muscle metastasis from head and neck squamous cell carcinoma.

Results:

The patient showed no evidence of distant muscular recurrence at follow up after 21 months; however, two years later he died from brain and suprarenal metastases.

Conclusion:

This report describes the first case of haematogenous distant metastasis to the left rectus femoris muscle from a laryngeal squamous cell carcinoma, without evidence of cervical lymph node metastases. To the best of our knowledge, this is the second reported case of muscular distant metastasis without cervical lymph node involvement. Although the prognosis associated with skeletal muscle metastasis is considered to be poor, surgical excision may be indicated for an isolated muscular metastasis.

Keywords

Larynx NeoplasmsTumor MetastasisMuscle
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 123 , Issue 12 , December 2009 , pp. 1381 - 1383
Copyright
Copyright © JLO (1984) Limited 2009

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Footnotes

Presented at the 29th National Congress of the Society of Turk Plastic Reconstructive and Aesthetic Surgery, 17–20 October 2007, Eskisehir, Turkey, and the 13th Congress of the Balkan Military Medical Committee, 1–5 June 2008, Kusadasi, Turkey.

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