扁桃体癌转移至脾脏致创伤：病例报告。
Tonsillar carcinoma metastatic to the spleen presenting as trauma: a case report.
机构信息
Department of Surgery, University of Minnesota, Minneapolis, Minnesota, USA.
出版信息
Head Neck. 2013 Jul;35(7):E226-8. doi: 10.1002/hed.23039. Epub 2012 Jul 12.
BACKGROUND
Cancers of the head and neck rarely metastasize to the spleen. To the best of our knowledge, there is no reported case of a tonsillar carcinoma metastasizing to the spleen.
METHOD AND RESULTS
This patient had a splenic capsular rupture likely related to his metastases that presented as a traumatic splenic injury. The patient had received neoadjuvant chemotherapy followed by concurrent chemoradiotherapy. Two months after completion of radiotherapy, he fell out of bed. The next day he had acute abdominal pain and hypotension. CT findings were consistent with splenic rupture, and he underwent splenectomy. Pathologic assessment of the specimen showed metastatic SCC.
CONCLUSION
New splemic lesions in patients with head and neck cancer should be investigated.
背景
头颈部癌症很少转移至脾脏。据我们所知，尚无扁桃体癌转移至脾脏的报道。
方法和结果
该患者的脾脏包膜破裂可能与转移有关，表现为外伤性脾损伤。患者接受了新辅助化疗，然后进行了同期放化疗。放疗完成后两个月，他从床上摔下。第二天，他出现了腹痛和低血压。CT 检查结果与脾破裂一致，他接受了脾切除术。标本的病理评估显示转移性 SCC。
结论
头颈部癌症患者出现新的脾脏病变时应进行检查。
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