Wanamaker J R, Kraus D H, Eliachar I, Lavertu P
Department of Otolaryngology and Communicative Disorders, Cleveland Clinic Foundation, Ohio 44195-5034.
Head Neck. 1993 May-Jun;15(3):257-62. doi: 10.1002/hed.2880150316.
Although metastatic neoplasms in the head and neck are rare compared to primary head and neck neoplasms, metastatic breast carcinoma has been described at numerous sites in the head and neck region. Two cases of breast carcinoma metastatic to sites in the head and neck are reported. In one case a laryngeal metastasis represented the first manifestation of recurrent breast cancer. The second case, a nasal metastasis, was unsuspected and was treated as cellulitis. The presentation of metastatic breast carcinoma to the head and neck may in fact be atypical, posing a diagnostic dilemma. These cases illustrate the importance of past medical history and the high index of suspicion in patients with a history of prior malignancy.
尽管与原发性头颈部肿瘤相比，头颈部转移性肿瘤较为罕见，但转移性乳腺癌已在头颈部区域的多个部位被报道。本文报告了2例乳腺癌转移至头颈部部位的病例。其中1例喉转移是复发性乳腺癌的首发表现。第2例为鼻转移，起初未被怀疑，被当作蜂窝织炎治疗。转移性乳腺癌在头颈部的表现实际上可能不典型，造成诊断上的两难。这些病例说明了既往病史的重要性以及对有既往恶性肿瘤病史患者保持高度怀疑的必要性。
