Tonsil metastasis of lung adenocarcinoma: a rare case

Year 2020, Volume: 45 Issue: 3, 1250 - 1252, 30.09.2020

Levent Yücel Muhammet Fatih Gökmen Zahide Çiler Büyükatalay Serpil Dizbay Suha Beton

https://doi.org/10.17826/cumj.730086

Abstract

Tonsil cancers account for 0,3% of all cancers and 6,7% of head and neck cancers. However, metastasis to tonsil is extremely rare. The kidney, skin, lung and breast are most common sites of primary tumor. Different histological types of lung cancer can metastase to tonsil. We present a case with left tonsil metastasis of lung adenocarcinoma. The most important point with our case is that the patient had his complaints for 1 year and received irrelevant treatments. As in our case, tonsil neoplasms may present with peritonsillar abscess. However, patients with history of cancer and prolonged complaints need a thorough evaluation of suspicious tonsil enlargement. Metastases may be synchronous with the lung tumor or may be observed before or after the treatment of primary tumor. Careful examination and radiological evaluation are very important in cancer patients; and biopsy must be performed in all cases with clinical suspicion.

Keywords

Lung neoplasms, palatine tonsil, neoplasm metastasis, adenocarcinoma, peritonsillar abscess

Supporting Institution

None

Project Number

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Thanks

None

Akciğer adenokarsinomu tonsil metastazı: nadir bir olgu

Abstract

Tonsil cancers account for 0,3% of all cancers and 6,7% of head and neck cancers. However, metastasis to tonsil is extremely rare. The kidney, skin, lung and breast are most common sites of primary tumor. Different histological types of lung cancer can metastase to tonsil. We present a case with left tonsil metastasis of lung adenocarcinoma. The most important point with our case is that the patient had his complaints for 1 year and received irrelevant treatments. As in our case, tonsil neoplasms may present with peritonsillar abscess. However, patients with history of cancer and prolonged complaints need a thorough evaluation of suspicious tonsil enlargement. Metastases may be synchronous with the lung tumor or may be observed before or after the treatment of primary tumor. Careful examination and radiological evaluation are very important in cancer patients; and biopsy must be performed in all cases with clinical suspicion.

Keywords

Akciğer neoplazileri, palatin tonsil, tümör metastazı;, adenokarsinom, peritonsiller abse

Project Number

None

References

• 1. Mastronikolis NS, Tsiropoulos GE, Chorianopoulos D, Liava AC, Stathas T, Papadas TA. Palatine tonsillar metastasis from lung adenocarcinoma. Eur Rev Med Pharmacol Sci, 2007;11(5), 279-82.
• 2. Sellars SL. Metastatic tumours of the tonsil. The Journal of Laryngology & Otology, 1971;85(3), 289-292.
• 3. Chen CC, Lee CT, Chang SL.,Tsai MC. A case of palatine tonsillar metastasis of lung adenocarcinoma: A CARE-compliant article. Medicine, 2019;98(22).
• 4. Unsal M, Kutlar G, Sullu Y, Yurtlu S. Tonsillar metastasis of small cell lung carcinoma. The clinical respiratory journal, 2016;10(6), 681-683.
• 5. Tian Y, Han Y, Du J, Zhang Y, Liu N, Du X et al. Palatine tonsillar metastasis of lung adenocarcinoma: an unusual immunohistochemical phenotype and a potential diagnostic pitfall. International Journal of Clinical and Experimental Pathology, 2019;12(6), 2288.