Advertisement

Tonsillar metastasis from large cell carcinoma of the lung

  • Tomohiro Murakawa
  • Jun Nakajima
  • Takeshi Fukami
  • Makoto Tanaka
  • Eriho Takeuchi
  • Shinichi Takamoto
Article

Abstract

A 52-year-old female was referred to our department for treatment of a left lung tum or, 80 mm in diameter, arising in the left S1+2. The patient’s chief complaint was persistent dry cough and spiking fever. Left upper lobectomy with hilar and mediastinal lymph node dissection (ND2a) was performed, and the pathological diagnosis was primary large cell carcinoma of the lung, p-T3N0M0. At one week after being discharged, the patient visited our outpatient clinic complaining of a sore throat. A tumor in the right tonsil was discovered, and excisional biopsy revealed it to be metastasis from the large cell carcinoma of the lung. Right cervical lymph node metastasis was also detected, and the patient was treated by combined chemo-radiotherapy, resulting in a complete remission.

Key words

lung cancer large cell carcinoma metastasis tonsil 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Engelman RM, McNamara WL. Bronchogenic carcinoma: a statistical review of two hundred and thirty-four autopsies. J Thorac Cardiovasc Surg 1954; 27: 227–37.Google Scholar
  2. 2.
    Abrams HL, Spiro R, Goldstein N. Metastases in carcinoma: analysis of 1000 autopsied cases. Cancer 1950; 3: 74–85.PubMedCrossRefGoogle Scholar
  3. 3.
    Hinoshita E, Nakahashi H, Wakasugi K, Kaneko S, Hamatake M, Sugimachi K. Duodenal metastasis from large cell carcinoma of the lung: report of a case. Jpn J Surg 1999; 29: 799–802.CrossRefGoogle Scholar
  4. 4.
    Ginsberg SS, Buzaid AC, Stern H, Carter D. Giant cell carcinoma of the lung. Cancer 1992; 70: 606–10.PubMedCrossRefGoogle Scholar
  5. 5.
    Annual of the Pathological Autopsy cases in Japan 1979 (vol. 21) to 1998 (vol. 40): edited by the Japanese Society of Pathology. (in Japanese)Google Scholar
  6. 6.
    Hart JR. ‘Seed and soil’ revisited: mechanisms of site-specific metastasis. Cancer Metastasis Rev 1982; 1: 5–16.PubMedCrossRefGoogle Scholar
  7. 7.
    Katsumata N, Eguchi K, Fukuda M, Yamamoto N. Ohe Y, Oshita F, et al. Serum levels of cytokines in patients with untreated primary lung cancer. Clin Cancer Res 1996; 2: 553–9.PubMedGoogle Scholar

Copyright information

© Japanese Association for Thoracic Surgery 2001

Authors and Affiliations

  • Tomohiro Murakawa
    • 1
  • Jun Nakajima
    • 1
  • Takeshi Fukami
    • 1
  • Makoto Tanaka
    • 1
  • Eriho Takeuchi
    • 1
  • Shinichi Takamoto
    • 1
  1. 1.Department of Cardiothoracic Surgery, Faculty of MedicineUniversity of TokyoTokyoJapan

Personalised recommendations