Sheng Li-Ming, Zhang Li-Zhen, Xu Hai-Miao, Zhu Yuan
Department of Radiation Oncology, Zhejiang Cancer Hospital, Zhejiang Province, China.
World J Gastroenterol. 2008 Dec 14;14(46):7138-40. doi: 10.3748/wjg.14.7138.
Metastatic palatine tonsil cancer is extremely rare, with nearly 100 such tumors reported in the English literature. The prognosis of metastatic palatine tonsil cancer is poor. A 53-year-old man presented with painless left palatine tonsillar swelling and a cervical mass following right hemicolectomy for an ascending colon adenocarcinoma. Physical examination showed an ulcerated mass located on the upper pole of the left palatine tonsil. A punch biopsy was taken for histological examination which showed a moderately-differentiated adenocarcinoma. The patient was treated with palliative radiotherapy and chemotherapy. He was still alive when we wrote this paper. Our case shows that immunohistochemical diagnosis of metastatic palatine tonsil cancer is essential.
转移性腭扁桃体癌极为罕见，英文文献中报道的此类肿瘤近100例。转移性腭扁桃体癌的预后较差。一名53岁男性在因升结肠腺癌接受右半结肠切除术后，出现左侧腭扁桃体无痛性肿大及颈部肿块。体格检查发现左侧腭扁桃体上极有一溃疡肿物。取组织进行活检以做组织学检查，结果显示为中分化腺癌。该患者接受了姑息性放疗和化疗。撰写本文时他仍然存活。我们的病例表明，转移性腭扁桃体癌的免疫组化诊断至关重要。
