Cargando…
A Rare Case of Colonic Metastases From Tonsillar Carcinoma: Case Report and Review of Literature
The incidence of tonsillar cancer has increased by four times in the United States over the last few decades likely due to recent increase in human papilloma virus (HPV) infections. The stage of the tumor predicts likelihood of metastasis, with advanced stages associated with higher chances of metas...
Autores principales: | , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elmer Press
2018
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5862081/ https://www.ncbi.nlm.nih.gov/pubmed/29581814 http://dx.doi.org/10.14740/wjon1073w |
_version_ | 1783308166219431936 |
---|---|
author | Tariq, Hassan Kamal, Muhammad Umar Mehershahi, Shehriyar Saad, Muhammad Azam, Sara Kumar, Kishore Niazi, Masooma Makker, Jasbir Daniel, Myrta |
author_facet | Tariq, Hassan Kamal, Muhammad Umar Mehershahi, Shehriyar Saad, Muhammad Azam, Sara Kumar, Kishore Niazi, Masooma Makker, Jasbir Daniel, Myrta |
author_sort | Tariq, Hassan |
collection | PubMed |
description | The incidence of tonsillar cancer has increased by four times in the United States over the last few decades likely due to recent increase in human papilloma virus (HPV) infections. The stage of the tumor predicts likelihood of metastasis, with advanced stages associated with higher chances of metastasis. The squamous cell carcinomas (SCCs) of the head and neck commonly metastasize to the lung, bone and liver in descending order. Tonsillar cancer rarely involves the small bowel and our review of the literature did not reveal any reported case of metastasis to the colon/large bowel. Our patient had locally metastatic tonsillar cancer, treated with partial pharyngectomy and selective neck dissection but later developed several bone and colonic metastases concurrently, likely secondary to hematogeneous dissemination after a few months of therapy. To the best of our knowledge, large bowel metastasis from head and neck SCC has never been reported in the literature. In these patients presenting with atypical gastrointestinal symptoms, a high index of suspicion should be maintained to determine the extent of metastasis and identify other metastatic sites. |
format | Online Article Text |
id | pubmed-5862081 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Elmer Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-58620812018-03-26 A Rare Case of Colonic Metastases From Tonsillar Carcinoma: Case Report and Review of Literature Tariq, Hassan Kamal, Muhammad Umar Mehershahi, Shehriyar Saad, Muhammad Azam, Sara Kumar, Kishore Niazi, Masooma Makker, Jasbir Daniel, Myrta World J Oncol Case Report The incidence of tonsillar cancer has increased by four times in the United States over the last few decades likely due to recent increase in human papilloma virus (HPV) infections. The stage of the tumor predicts likelihood of metastasis, with advanced stages associated with higher chances of metastasis. The squamous cell carcinomas (SCCs) of the head and neck commonly metastasize to the lung, bone and liver in descending order. Tonsillar cancer rarely involves the small bowel and our review of the literature did not reveal any reported case of metastasis to the colon/large bowel. Our patient had locally metastatic tonsillar cancer, treated with partial pharyngectomy and selective neck dissection but later developed several bone and colonic metastases concurrently, likely secondary to hematogeneous dissemination after a few months of therapy. To the best of our knowledge, large bowel metastasis from head and neck SCC has never been reported in the literature. In these patients presenting with atypical gastrointestinal symptoms, a high index of suspicion should be maintained to determine the extent of metastasis and identify other metastatic sites. Elmer Press 2018-02 2018-03-08 /pmc/articles/PMC5862081/ /pubmed/29581814 http://dx.doi.org/10.14740/wjon1073w Text en Copyright 2018, Tariq et al. http://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution Non-Commercial 4.0 International License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Tariq, Hassan Kamal, Muhammad Umar Mehershahi, Shehriyar Saad, Muhammad Azam, Sara Kumar, Kishore Niazi, Masooma Makker, Jasbir Daniel, Myrta A Rare Case of Colonic Metastases From Tonsillar Carcinoma: Case Report and Review of Literature |
title | A Rare Case of Colonic Metastases From Tonsillar Carcinoma: Case Report and Review of Literature |
title_full | A Rare Case of Colonic Metastases From Tonsillar Carcinoma: Case Report and Review of Literature |
title_fullStr | A Rare Case of Colonic Metastases From Tonsillar Carcinoma: Case Report and Review of Literature |
title_full_unstemmed | A Rare Case of Colonic Metastases From Tonsillar Carcinoma: Case Report and Review of Literature |
title_short | A Rare Case of Colonic Metastases From Tonsillar Carcinoma: Case Report and Review of Literature |
title_sort | rare case of colonic metastases from tonsillar carcinoma: case report and review of literature |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5862081/ https://www.ncbi.nlm.nih.gov/pubmed/29581814 http://dx.doi.org/10.14740/wjon1073w |
work_keys_str_mv | AT tariqhassan ararecaseofcolonicmetastasesfromtonsillarcarcinomacasereportandreviewofliterature AT kamalmuhammadumar ararecaseofcolonicmetastasesfromtonsillarcarcinomacasereportandreviewofliterature AT mehershahishehriyar ararecaseofcolonicmetastasesfromtonsillarcarcinomacasereportandreviewofliterature AT saadmuhammad ararecaseofcolonicmetastasesfromtonsillarcarcinomacasereportandreviewofliterature AT azamsara ararecaseofcolonicmetastasesfromtonsillarcarcinomacasereportandreviewofliterature AT kumarkishore ararecaseofcolonicmetastasesfromtonsillarcarcinomacasereportandreviewofliterature AT niazimasooma ararecaseofcolonicmetastasesfromtonsillarcarcinomacasereportandreviewofliterature AT makkerjasbir ararecaseofcolonicmetastasesfromtonsillarcarcinomacasereportandreviewofliterature AT danielmyrta ararecaseofcolonicmetastasesfromtonsillarcarcinomacasereportandreviewofliterature AT tariqhassan rarecaseofcolonicmetastasesfromtonsillarcarcinomacasereportandreviewofliterature AT kamalmuhammadumar rarecaseofcolonicmetastasesfromtonsillarcarcinomacasereportandreviewofliterature AT mehershahishehriyar rarecaseofcolonicmetastasesfromtonsillarcarcinomacasereportandreviewofliterature AT saadmuhammad rarecaseofcolonicmetastasesfromtonsillarcarcinomacasereportandreviewofliterature AT azamsara rarecaseofcolonicmetastasesfromtonsillarcarcinomacasereportandreviewofliterature AT kumarkishore rarecaseofcolonicmetastasesfromtonsillarcarcinomacasereportandreviewofliterature AT niazimasooma rarecaseofcolonicmetastasesfromtonsillarcarcinomacasereportandreviewofliterature AT makkerjasbir rarecaseofcolonicmetastasesfromtonsillarcarcinomacasereportandreviewofliterature AT danielmyrta rarecaseofcolonicmetastasesfromtonsillarcarcinomacasereportandreviewofliterature |