Yoshihara T, Yamamura Y
Department of Otolaryngology, Tokyo Women's Medical College, Japan.
J Laryngol Otol. 1997 Jun;111(6):575-7. doi: 10.1017/s0022215100137958.
An unusual case of laryngeal carcinoma metastasizing to the small intestine is reported. The patient was admitted to our hospital due to hoarseness, sore throat and dyspnoea. Pathological examination on the laryngeal mass revealed it to be moderately differentiated squamous cell carcinoma, staged as T4N0M0. A total laryngectomy and right modified neck dissection were performed. Over two years after the operation a small intestinal tumour was found, with a resultant resection of the ileum and sigmoid colon. An infiltration of the cell nests of squamous cell carcinoma were present at the submucosal regions of the ileum. These findings indicated that the laryngeal cancer had already metastasized to the small intestine at the time of the initial treatment.
报告了一例罕见的喉癌转移至小肠的病例。患者因声音嘶哑、咽痛和呼吸困难入院。对喉部肿物进行病理检查，结果显示为中分化鳞状细胞癌，分期为T4N0M0。遂行全喉切除术及右侧改良颈部淋巴结清扫术。术后两年多发现小肠肿瘤，随后切除了回肠和乙状结肠。在回肠黏膜下层存在鳞状细胞癌巢浸润。这些发现表明，在初始治疗时喉癌已经转移至小肠。
