Essrani Rajesh, Nellis Eric, Hickey Patrick, Shah Hiral
Internal Medicine, Lehigh Valley Health Network, Allentown, USA.
Gastroenterology, Lehigh Valley Health Network, Allentown, USA.
Cureus. 2019 Feb 19;11(2):e4094. doi: 10.7759/cureus.4094.
Most malignant obstructive jaundice arises from primary periampullary tumors and rarely from metastatic cancer of the head and neck. A 60-year-old male was diagnosed with obstructive jaundice due to metastatic squamous cell carcinoma of the tonsil. Only 12 cases of small bowel metastasis from the head and neck have been reported. Most of them originate from laryngeal squamous cell carcinoma, and only one case reported tonsillar cancer metastasizing to the ileum. Our case is the first one, to the best of our knowledge, to illustrate tonsillar cancer with metastasis to the duodenum causing obstructive jaundice.
大多数恶性梗阻性黄疸源于原发性壶腹周围肿瘤，很少由头颈部转移性癌引起。一名60岁男性被诊断为因扁桃体转移性鳞状细胞癌导致的梗阻性黄疸。头颈部小肠转移仅报道过12例。其中大多数起源于喉鳞状细胞癌，仅有1例报道扁桃体癌转移至回肠。据我们所知，我们的病例是首例扁桃体癌转移至十二指肠导致梗阻性黄疸的病例。
