Metastatic cancers to the head and neck from the thoracoabdominal viscera

DOI 7 Citations 24 References
  • Iguchi Hiroyoshi
    Department of Otolaryngology and Head & Neck Surgery, Osaka City University Graduate School of Medicine
  • Wada Tadashi
    Department of Otolaryngology and Head & Neck Surgery, Osaka City University Graduate School of Medicine
  • Hachiya Kazutaka
    Department of Otolaryngology and Head & Neck Surgery, Osaka City University Graduate School of Medicine
  • Amatsu Hisao
    Department of Otolaryngology and Head & Neck Surgery, Osaka City University Graduate School of Medicine
  • Matsushita Naoki
    Department of Otolaryngology and Head & Neck Surgery, Osaka City University Graduate School of Medicine
  • Oishi Masahiro
    Department of Otolaryngology and Head & Neck Surgery, Osaka City University Graduate School of Medicine
  • Yamane Hideo
    Department of Otolaryngology and Head & Neck Surgery, Osaka City University Graduate School of Medicine

Bibliographic Information

Other Title
  • 胸腹部臓器から頭頸部領域への遠隔転移癌　　‐当科の経験‐
  • ―当科の経験―

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Abstract

We clinically examined 9 patients with metastatic cancers to the head and neck from the thoracoabdominal viscera treated in our department during the 15-year period from March 1994 to February 2009. The patients were 6 males and 3 females with a mean age of 67.9 years (range 58-78 years). Primary lesions included those in the lung (4 cases), kidney (2 cases), liver (1 case), stomach (1 case), and colon (1 case) in order of frequency. Sites of metastasis in the head and neck region included 4 cases in the mesopharynx (3 in the palatine tonsil and 1 in the root of the tongue), 3 in the oral cavity, 2 in the nose or paranasal sinus, and 1 in the thyroid gland. One patient had double cancers originating in the palatine tonsil and the oral cavity. The interval between detection of the primary cancer and the metastatic head and neck cancer ranged between within one month and 10 years, and in three cases was more than five years. In one of nine cases (gastric cancer), pathologic findings for the metastatic lesion were helpful in detecting the primary site. All cases exhibited other distant metastases outside the head and neck region, and the bone (5 cases) was the most frequent site followed by the brain (3 cases), adrenal gland (3 cases), and lung (2 cases).<br>Although previous studies found that the most frequent metastatic cancer to the head and neck from the thoracoabdominal viscera was renal cell carcinoma in the nose or paranasal sinus, our review of the literature published between 1983 and 2009 has revealed that metastasis of lung cancer to the pharynx is the most frequent.

Journal

  • Toukeibu Gan

    Toukeibu Gan 35 (4), 416-420, 2009

    Japan Society for Head and Neck Cancer

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