A Case of Tonsillar Metastasis from Small Cell Lung Cancer

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  • 肺小細胞癌口蓋扁桃転移例
  • 臨床 肺小細胞癌口蓋扁桃転移例
  • リンショウ ハイ ショウサイボウガン コウガイ ヘントウ テンイレイ

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Abstract

Metastasis of a tumor to the tonsil is a rare event. We report herein on a case of tonsillar metastasis from small cell lung cancer. A 70-year-old woman had been in our hospital for treatment of her lung cancer. She complained of pharyngalgia, and was referred to our division for examination. The right palatine tonsil was swelling, rubescent and covered with pus plugs. She was treated with antibiotics on the basis of having acute tonsillitis. The swollen right palatine tonsil reduced in size for a while, but enlarged again, and was partially ulcerated. She was afraid to undergo any biopsy, so a right tonsillectomy was done under general anesthesia. The histopathological examination resulted in the diagnosis of a metastatic tonsillar tumor from lung cancer (small cell carcinoma). Intravenous chemotherapy was performed, but ineffective. She died due to progression of the primary lesion and other metastasizing lesions (right adrenal gland, and abdominal lymph nodes) 5 months after the diagnosis of tonsillar metastasis.<br>

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