Cargando…

Squamous cell carcinoma (SCC) of the Pyriform sinus with multiple metachronous brain metastases, a case report

BACKGROUND: Distant Metastases from Head and Neck Squamous cell carcinomas are uncommon (9–11%) and they are usually found in the lung and less frequently in the liver, kidney and adrenals. Central nervous system (CNS) metastases are extremely rare (2–8%), and they are described mainly in patients w...

Descripción completa

Detalles Bibliográficos
Autores principales: Cristaudo, Agostino, Stefanelli, Antonio, Ursino, Stefano, Delishaj, Durim, Baldaccini, Davide, Gonnelli, Alessandra, Paiar, Fabiola
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6971903/
https://www.ncbi.nlm.nih.gov/pubmed/31959214
http://dx.doi.org/10.1186/s13014-020-1472-0
_version_ 1783489808668033024
author Cristaudo, Agostino
Stefanelli, Antonio
Ursino, Stefano
Delishaj, Durim
Baldaccini, Davide
Gonnelli, Alessandra
Paiar, Fabiola
author_facet Cristaudo, Agostino
Stefanelli, Antonio
Ursino, Stefano
Delishaj, Durim
Baldaccini, Davide
Gonnelli, Alessandra
Paiar, Fabiola
author_sort Cristaudo, Agostino
collection PubMed
description BACKGROUND: Distant Metastases from Head and Neck Squamous cell carcinomas are uncommon (9–11%) and they are usually found in the lung and less frequently in the liver, kidney and adrenals. Central nervous system (CNS) metastases are extremely rare (2–8%), and they are described mainly in patients who already have extracranial metastases. So there’s scarcity of data about their optimal management . METHODS AND RESULTS: A patient presented CNS metastases after having been successfully treated with induction chemotherapy and definitive radiotherapy for a pyriform sinus carcinoma. The patient’s work up, treatment and outcome are described. CONCLUSIONS: CNS metastases from Head and Neck carcinomas are exceptionally rare. Nevertheless, clinicians should be alert of neurological symptoms in these patients, in order to set up a timely assessment and treatment. Secondarily, given the rarity of this condition, additional research on this topic is warranted in order to improve therapeutic strategies and outcomes of such patients.
format Online
Article
Text
id pubmed-6971903
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-69719032020-01-27 Squamous cell carcinoma (SCC) of the Pyriform sinus with multiple metachronous brain metastases, a case report Cristaudo, Agostino Stefanelli, Antonio Ursino, Stefano Delishaj, Durim Baldaccini, Davide Gonnelli, Alessandra Paiar, Fabiola Radiat Oncol Case Report BACKGROUND: Distant Metastases from Head and Neck Squamous cell carcinomas are uncommon (9–11%) and they are usually found in the lung and less frequently in the liver, kidney and adrenals. Central nervous system (CNS) metastases are extremely rare (2–8%), and they are described mainly in patients who already have extracranial metastases. So there’s scarcity of data about their optimal management . METHODS AND RESULTS: A patient presented CNS metastases after having been successfully treated with induction chemotherapy and definitive radiotherapy for a pyriform sinus carcinoma. The patient’s work up, treatment and outcome are described. CONCLUSIONS: CNS metastases from Head and Neck carcinomas are exceptionally rare. Nevertheless, clinicians should be alert of neurological symptoms in these patients, in order to set up a timely assessment and treatment. Secondarily, given the rarity of this condition, additional research on this topic is warranted in order to improve therapeutic strategies and outcomes of such patients. BioMed Central 2020-01-20 /pmc/articles/PMC6971903/ /pubmed/31959214 http://dx.doi.org/10.1186/s13014-020-1472-0 Text en © The Author(s). 2020 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Case Report
Cristaudo, Agostino
Stefanelli, Antonio
Ursino, Stefano
Delishaj, Durim
Baldaccini, Davide
Gonnelli, Alessandra
Paiar, Fabiola
Squamous cell carcinoma (SCC) of the Pyriform sinus with multiple metachronous brain metastases, a case report
title Squamous cell carcinoma (SCC) of the Pyriform sinus with multiple metachronous brain metastases, a case report
title_full Squamous cell carcinoma (SCC) of the Pyriform sinus with multiple metachronous brain metastases, a case report
title_fullStr Squamous cell carcinoma (SCC) of the Pyriform sinus with multiple metachronous brain metastases, a case report
title_full_unstemmed Squamous cell carcinoma (SCC) of the Pyriform sinus with multiple metachronous brain metastases, a case report
title_short Squamous cell carcinoma (SCC) of the Pyriform sinus with multiple metachronous brain metastases, a case report
title_sort squamous cell carcinoma (scc) of the pyriform sinus with multiple metachronous brain metastases, a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6971903/
https://www.ncbi.nlm.nih.gov/pubmed/31959214
http://dx.doi.org/10.1186/s13014-020-1472-0
work_keys_str_mv AT cristaudoagostino squamouscellcarcinomasccofthepyriformsinuswithmultiplemetachronousbrainmetastasesacasereport
AT stefanelliantonio squamouscellcarcinomasccofthepyriformsinuswithmultiplemetachronousbrainmetastasesacasereport
AT ursinostefano squamouscellcarcinomasccofthepyriformsinuswithmultiplemetachronousbrainmetastasesacasereport
AT delishajdurim squamouscellcarcinomasccofthepyriformsinuswithmultiplemetachronousbrainmetastasesacasereport
AT baldaccinidavide squamouscellcarcinomasccofthepyriformsinuswithmultiplemetachronousbrainmetastasesacasereport
AT gonnellialessandra squamouscellcarcinomasccofthepyriformsinuswithmultiplemetachronousbrainmetastasesacasereport
AT paiarfabiola squamouscellcarcinomasccofthepyriformsinuswithmultiplemetachronousbrainmetastasesacasereport