Öz
Although distant metastasis from larynx carcinoma is more common in the late stages, it may sometimes occur in the initial period of the disease. The tumor spread may be by a lymphatic or nonlymphatic route. A 40-year-old male patient presented with complaints of hoarseness and shortness of breath. Indirect laryngo- scopic examination showed a vegetable mass extend- ing from the left laryngeal side of the epiglottis to the left vocal cord. Level 3 lymphadenopathies were noted in the jugular region. Biopsy result revealed epidermoid carcinoma. Magnetic resonance imaging performed due to complaints of back pain and foot numbness demonstrated aggressive spinal cord metastases. The patient died on the tenth day of hospitalization.
Anahtar Kelimeler
Carcinoma squamous celi laryngeal neoplasms neoplasm metastasis
Kaynakça
- Probert JC, Thompson RW, Bagshaw MA. Patterns of spread of distant metastases in head and neck cancer. Cancer 1974;33:127-33.
- Spector JG, Sessions DG, Haughey BH, Chao KS, Simpson J, El Mofty S, et al. Delayed regional metas- tases, distant metastases, and second primary malig- nancies in squamous cell carcinomas of the larynx and hypopharynx. Laryngoscope 2001;111:1079-87.
- Crile GW. Excision of cancer of the head and neck. JAMA 1906;47:1780-6. [Abstract]
- de Bree R, Deurloo EE, Snow GB, Leemans CR. Screening for distant metastases in patients with head and neck cancer. Laryngoscope 2000;110(3 Pt 1):397-401.
- Dennington ML, Carter DR, Meyers AD. Distant metastases in head and neck epidermoid carcinoma. Laryngoscope 1980;90:196-201.
- Black RJ, Gluckman JL, Shumrick DA. Screening for distant metastases in head and neck cancer patients. Aust N Z J Surg 1984;54:527-30.
Öz
Larenks kanserlerinde uzak yayılım sıklıkla geç dö- nemde, bazen ise tümörün başlangıç safhasında gö- rülebilir. Tümör yayılımı lenfatik ya da lenfatik dışı yolla olabilir. Ses kısıklığı ve nefes almada güçlük yakınmalarıyla başvuran 40 yaşındaki erkek hasta- nın indirekt larengoskopisinde, epiglotun sol laren- geal yüzünden başlayıp sol vokal korda kadar uza- nan vejetan kitle saptandı. Juguler bölgede level 3 lenfadenopati görüldü. Biyopsi sonucu epidermoid karsinom olarak bildirilen hastanın sırt ve bel ağrısı, ayaklarda uyuşma yakınmaları üzerine çekilen man- yetik rezonans görüntülemede dorsal vertebral ve medülla spinalise agresif yayılımlar saptandı. Hasta yatışının 10. gününde yaşamını kaybetti
Anahtar Kelimeler
Kaynakça
- Probert JC, Thompson RW, Bagshaw MA. Patterns of spread of distant metastases in head and neck cancer. Cancer 1974;33:127-33.
- Spector JG, Sessions DG, Haughey BH, Chao KS, Simpson J, El Mofty S, et al. Delayed regional metas- tases, distant metastases, and second primary malig- nancies in squamous cell carcinomas of the larynx and hypopharynx. Laryngoscope 2001;111:1079-87.
- Crile GW. Excision of cancer of the head and neck. JAMA 1906;47:1780-6. [Abstract]
- de Bree R, Deurloo EE, Snow GB, Leemans CR. Screening for distant metastases in patients with head and neck cancer. Laryngoscope 2000;110(3 Pt 1):397-401.
- Dennington ML, Carter DR, Meyers AD. Distant metastases in head and neck epidermoid carcinoma. Laryngoscope 1980;90:196-201.
- Black RJ, Gluckman JL, Shumrick DA. Screening for distant metastases in head and neck cancer patients. Aust N Z J Surg 1984;54:527-30.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Olgu Sunumu |
| Yazarlar | |
| Yayımlanma Tarihi | 12 Ocak 2007 |
| Yayımlandığı Sayı | Yıl 2007 Cilt: 17 Sayı: 1 |