Colon Cancer with Tonsillar Metastasis: A Case Report

大腸癌併扁桃腺轉移：病例報告

侯永基(Yung-Chi Hou) ； 柯煥章(Huan-Jang Ko) ； 潘至信(Allen Chih-Hsin Pan) ； 鍾元強(Yuan-Chang Chung)

《Formosan Journal of Surgery》 37卷3期 (2004/06) Pp. 123-127

摘要

扁桃腺轉移性惡性腫瘤是很少見的。這位63歲男性病患 三年前因盲腸癌手術，術後腸癌分期為第三期，因此規律地每週於門診接受輔助性化學治療。一年後，因持續癌胚指數(CEA)昇高，發現右肺轉移，接受右上肺葉切除併淋巴擴清手術。術後證實轉移性惡性腺癌，所以給予二線化學治療藥物。但是，因為化學治療引起的不適，病患拒絕進一步的化療。不幸地，半年後，因持續喉嚨痛未癒，接受扁桃腺切片檢查，確定扁桃腺轉移。於是病患再度接受右側扁桃腺切除併頸部淋巴擴清術，目前已術後十個月，復原狀況良好，癌胚抗原指數在正常範圍內。在此提出這個病例用以提醒此一罕見扁桃腺轉移癌的狀況， 以利早期發現，早期治療。

並列摘要

Metastatic tonsillar cancer is rare. A 63 year-old male patient was a victim of cecal cancer at pathological stage III (T3N1M0). He received right hemicolectomy and postoperative adjuvant chemotherapy with flurouracil and leucovorin. Solitary right lung metastasis was noted one year after the initial operation. Right upper lobectomy was conducted. Pathology revealed metastatic adenocarcinoma without LN metastasis. The histological picture was similar to his previous cencal cancer. Postoperative chemotherapy was thous shifted to combined irinotecan formula. Unfortunately, a tonsillar tumor was noted 6 months later. Tonsillar biopsy showed metastatic adenocarcinoma. He received right tonsillectomy and modified radical neck LN dissection. Although colon cancer with tonsillar metastasis is rare, its occurrence can not be ruled out. Special caution must be paid for this peculiar metastasis and early diagnosis could be made by careful medical examination.

並列關鍵字

colon cancer ； tonsillar metastasis