TWO RARE CASES OF ABDOMINAL WALL METASTASES FROM HEAD AND NECK CANCER

DOI 2 Citations 11 References
  • KOIWA Tetsuo
    Department of Otolaryngology, Tohoku University School of Medicine
  • YOKOYAMA Jyunkichi
    Department of Otolaryngology, Tohoku University School of Medicine
  • HASHIMOTO Sho
    Department of Otolaryngology, Tohoku University School of Medicine
  • SHIGA Kiyoto
    Department of Head and Neck Surgery, Miyagi Cancer Center
  • SAIJO Sigeru
    Department of Head and Neck Surgery, Miyagi Cancer Center

Bibliographic Information

Other Title
  • 頭頚部癌が腹壁に転移した稀な２症例

Search this article

Abstract

Though the most common sites of distant metastases from head and neck cancer were lung, liver, and bone, we experienced two very rare cases with abdominal wall metastases. One patient was 76-years-old man with a large mesopharyngeal cancer. His dysphasia was getting worse, so an enteral nutrition tube was inserted percutaneously. Tumor was found on the abdominal wall around the tube after two months. The diagnosis was metastasis from the mesopharyngeal cancer, by biopsy. The other patient was a 55-years-old man with external ear cancer. We planned reconstruction of a right rectus abdominis myocutaneous flap after extirpation of the cancer, but the blood supply to the flap was insufficient. So we returned the flap during surgery and used a left rectus abdominis myocutaneous flap. After the operation we noticed an area of necrosis in the right rectus abdominal muscle, so we continued observation of the necrosis. The surface of the tumor was irregular, and it was found to be a metastasis to the right abdominal wall, by biopsy. Because all instruments and staff were exchanged after extirpation of the cancer at this operation, the mechanism of metastasis was not direct dissemination. Physicians should observe wounds for metastasis carefully after surgical treatment.

Journal

Citations (2)*help

See more

References(11)*help

See more

Keywords

Details 詳細情報について

Report a problem

Back to top