Otolaryngology, Glangwili General Hospital, Carmarthen, UK
Otolaryngology, Glangwili General Hospital, Carmarthen, UK.
BMJ Case Rep. 2022 Apr 8;15(4):e248098. doi: 10.1136/bcr-2021-248098.
We present a case report of a gentleman presenting with a globular lesion arising from his uvula. Although elective admission was planned, he presented with airway compromise, and emergency excision was required. The patient had a background of metastatic clear cell renal carcinoma; histology confirmed the uvula lesion as a further secondary deposit. Renal cell carcinoma has a recognised metastatic propensity, but spread to the uvula is rare, with only two previously described cases in the literature. This case is notable for the unusual location of the metastasis, as well as the rapid progression of symptoms, which threatened the airway and necessitated urgent surgical intervention.
我们报告了一例男性患者，其悬雍垂上出现球形病变。虽然计划进行择期入院治疗，但患者出现气道阻塞，需要紧急切除。该患者有转移性透明细胞肾细胞癌病史；组织学证实悬雍垂病变为进一步的继发性转移。肾细胞癌具有公认的转移倾向，但转移至悬雍垂较为罕见，文献中仅描述过两例。该病例的特点是转移部位不常见，以及症状迅速进展，这威胁到气道，需要紧急手术干预。
