Izabela Olejniczak, Marek Łukomski, Tomasz Durko, Wioletta Pietruszewska
Katedra Otolaryngologii Uniwersytetu Medycznego w Łodzi, Uniwersytecki Szpital Kliniczny nr 1. im. N. Barlickiego.
Otolaryngol Pol. 2008;62(6):787-90. doi: 10.1016/S0030-6657(08)70362-7.
A rare case of distant metastasis to spinal column--lumbar vertebra (L5)--from laryngeal cancer was reported. It must be noted that in 10% of cases metastases to vertebral column are first symptom of a neoplastic disease and sixty-five percent of patients with advanced cancer present bone metastases. Metastatic involvement of the bone is one of the most frequent causes of pain in cancer patients and represents one of the first signs of widespread neoplastic disease. Nevertheless metastases to lumbar vertebral column from laryngeal cancer is very rare. In presented case MRI and CT were performed to confirm metastasis. Laryngological examination revealed tumor of a right part of larynx--squamous cell carcinoma (G2) in histopathological examination. The patient was qualified to palliative radiotherapy and still is under laryngological observation.
报告了一例罕见的喉癌远处转移至脊柱——腰椎（L5）的病例。必须注意的是，在10%的病例中，脊柱转移是肿瘤性疾病的首发症状，65%的晚期癌症患者存在骨转移。骨转移是癌症患者疼痛的最常见原因之一，也是广泛肿瘤性疾病的最早迹象之一。然而，喉癌转移至腰椎非常罕见。在本病例中，进行了MRI和CT检查以确认转移。喉镜检查发现喉部右侧肿瘤——组织病理学检查为鳞状细胞癌（G2）。该患者符合姑息性放疗条件，目前仍在接受喉镜观察。
