Department of Medical Oncology, Diskapi Yildirim Beyaziti, Training and Research Hospital, Ankara, Turkey.
Department of Pathology, Diskapi Yildirim Beyazit, Training and Research Hospital, Ankara, Turkey.
J Coll Physicians Surg Pak. 2022 Apr;32(4):S55-S57. doi: 10.29271/jcpsp.2022.Supp1.S55.
Distant metastasis of laryngeal carcinoma occurs at the rate of 4%-12%, with the most common sites being the lungs, liver and bone. Acrometastasis occurs rarely in cases of laryngeal carcinoma; to date, only three cases of acrometastasis have been reported. Herein, we describe a 66-year male, who was followed up for metastatic laryngeal carcinoma and developed paronychia. Hot compress was applied, antibiotic treatment was administered, and fine-needle biopsy of the lesion was performed. The lesion did not regress despite the administration of a broad-spectrum antibiotic. The results of cytological examinations were consistent with squamous cell carcinoma metastasis. Rarely occurring acrometastases indicate poor prognosis in cancer patients; expected survival is short and treatment is usually palliative. In such cases, finger amputation or local radiotherapy are recommended. Clinicians should be aware when treating metastatic laryngeal cancer that such atypical lesions as paronychia can be associated with the primary tumour. Key Words: Acrometastasis, Laryngeal carcinoma, Finger, Metastasis.
喉癌远处转移发生率为 4%-12%，最常见的转移部位是肺、肝和骨。喉癌的肩峰转移很少见；迄今为止，仅报道了 3 例肩峰转移病例。本文报道了 1 例 66 岁男性，因转移性喉癌随访并出现甲周炎。给予热疗、抗生素治疗和病变细针活检。尽管使用了广谱抗生素，病变仍未消退。细胞学检查结果符合鳞状细胞癌转移。罕见的肩峰转移表明癌症患者预后不良；预期生存期短，治疗通常为姑息性。在这种情况下，建议行手指截肢或局部放疗。临床医生在治疗转移性喉癌时应注意，甲沟炎等非典型病变可能与原发性肿瘤有关。
肩峰转移；喉癌；手指；转移。
