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肺腺癌转移至腭扁桃体。

Metastasis of pulmonary adenocarcinoma to the palatine tonsil.

作者信息

Zaubitzer Lena, Rotter Nicole, Aderhold Christoph, Gaiser Timo, Jungbauer Frederic, Kramer Benedikt, Kuhlin Beatrice, Thorn Carsten, Lammert Anne

机构信息

Department of Otorhinolaryngology Head and Neck Surgery, University Hospital Mannheim, Medical Faculty Mannheim, University Heidelberg, D-68167 Mannheim, Germany.

Institute of Pathology, University Hospital Mannheim, Medical Faculty Mannheim, University Heidelberg, D-68167 Mannheim, Germany.

出版信息

Mol Clin Oncol. 2019 Feb;10(2):231-234. doi: 10.3892/mco.2018.1776. Epub 2018 Nov 27.

DOI:10.3892/mco.2018.1776
PMID:30680199
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6327221/
Abstract

Lung cancer rarely metastasizes to the palatine tonsil. There have only been a few cases that have reported on palatine tonsillar metastases of pulmonary adenocarcinoma. In the majority of these cases the primary diagnosis is a small cell lung cancer. The present case report resents an unusual case of a 66-year-old woman with a multiple metastasized lung adenocarcinoma, which was finally detected by tonsillectomy. The present case report and review of the literature revealed the importance of complete and systematic tumor staging, including the examination of the oral cavity in case of lung cancer and that the evident tentative diagnosis is not always the right one.

摘要

肺癌很少转移至腭扁桃体。仅有少数关于肺腺癌腭扁桃体转移的病例报道。在这些病例中,大多数的原发诊断为小细胞肺癌。本病例报告呈现了一名66岁女性的罕见病例,其患有多发性转移的肺腺癌,最终通过扁桃体切除术得以确诊。本病例报告及文献回顾揭示了完整且系统的肿瘤分期的重要性,包括在肺癌病例中对口腔进行检查,以及明显的初步诊断并不总是正确的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/71e1/6327221/c2e3cf7c2cfd/mco-10-02-0231-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/71e1/6327221/9c4cf30fa3ca/mco-10-02-0231-g00.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/71e1/6327221/c2e3cf7c2cfd/mco-10-02-0231-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/71e1/6327221/9c4cf30fa3ca/mco-10-02-0231-g00.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/71e1/6327221/c2e3cf7c2cfd/mco-10-02-0231-g01.jpg

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本文引用的文献

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A rare case of palatin tonsillar metastasis from small cell lung cancer.一例罕见的小细胞肺癌腭扁桃体转移病例。
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Palatine tonsillar metastasis of a small pulmonary adenocarcinoma showing an invasive micropapillary carcinoma pattern and Pagetoid spread at the tonsil: a case suggesting retrograde lymphatic metastasis from bulky lymph node metastases of the neck.
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Small cell lung carcinoma metastasis to palatine tonsils.小细胞肺癌转移至腭扁桃体。
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Oropharynx cancer.口咽癌
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Carcinoembryonic antigen (CEA) as tumor marker in lung cancer.癌胚抗原(CEA)作为肺癌的肿瘤标志物。
Lung Cancer. 2012 May;76(2):138-43. doi: 10.1016/j.lungcan.2011.11.012. Epub 2011 Dec 6.
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