Tsubochi Hiroyoshi, Isogami Katsuhiko, Sato Nobuyuki, Imai Tadashi
Department of Thoracic Surgery, Miyagi Cardiovascular and Respiratory Center, Kurihara, Miyagi, Japan.
Jpn J Thorac Cardiovasc Surg. 2005 Aug;53(8):455-7. doi: 10.1007/s11748-005-0085-8.
Tonsillar metastasis from neoplasms, including lung cancer, are extremely rare, and the prognosis for patients with tonsillar metastases is rather poor. We herein describe a case of long-term survival following radiation for lingual tonsillar metastasis from a bronchial adenocarcinoma. A 39-year-old male was diagnosed with adenocarcinoma of the right lung and was surgically treated. Four months after surgery, a mass arising from the lingual tonsil was noted at the root of the tongue and was pathologically diagnosed as metastasis from lung cancer. In addition, a computed tomography scan revealed a jugular lymphadenopathy, which was considered to be a metastasis from the tonsillar tumor. The tonsillar mass and jugular lymphadenopathy disappeared after external radiotherapy (50 Gy). The patient is alive without recurrence more than 8 years after treatment for tonsillar metastasis. This is the first report of successfully treated tonsillar metastasis from a malignant tumor.
包括肺癌在内的肿瘤发生扁桃体转移极为罕见，扁桃体转移患者的预后相当差。在此，我们描述一例支气管腺癌舌扁桃体转移放疗后长期存活的病例。一名39岁男性被诊断为右肺腺癌并接受了手术治疗。术后4个月，在舌根处发现一个起源于舌扁桃体的肿物，经病理诊断为肺癌转移。此外，计算机断层扫描显示颈静脉淋巴结肿大，考虑为扁桃体肿瘤转移。体外放疗（50 Gy）后，扁桃体肿物和颈静脉淋巴结肿大消失。该患者在扁桃体转移治疗后存活超过8年且无复发。这是首例成功治疗恶性肿瘤扁桃体转移的报告。
