Hepatocellular Carcinoma with Metastasis to the Palatine Tonsil - A Case Report and Literature Review

肝細胞癌合併扁桃腺轉移－個案報告與文獻回顧

Renn-Hau Yu(余任浩) ； Yen-Chun Chen(陳彥均) ； Yun-Ho Lin(林永和) ； Chi-Wei Yeh(葉啓偉) ； Hsin-Te Hsu(許信德)

《台灣耳鼻喉頭頸外科雜誌》 58卷1期 (2023/03) Pp. 52-57

https://doi.org/10.6286/jtohns.202303_58(1).052

摘要

Because primary hepatocellular carcinoma (HCC) metastasizing to the palatine tonsillar is extremely rare and only 11 cases have been reported to date, this type of cancer is challenging to diagnose. Therefore, patients who initially present with only an oral lesion and have no history of primary HCC may receive a wrong diagnosis. This article reports a case of a middle-aged woman who presented with a globus sensation that she had experienced for 1 month; the article also presents a review of the literature that was conducted to identify optimal management strategies and predictive factors for HCC in order to improve survival outcomes.

關鍵字

hepatocellular carcinoma ； palatine tonsillar metastasis

並列摘要

原發性肝細胞癌合併顎扁桃腺轉移的情況十分少見，迄今只有11例被報導過，如此稀缺的狀況給臨床醫師診斷上帶來了挑戰，尤其是在未知原發肝細胞癌的狀況下發現扁桃腺腫瘤極易造成診斷的延誤，故提出此報告。本院收治1名中年女性主訴喉嚨卡卡1個月，並進行文獻整理探討相關的預後因子與適當的處置方式以改善存活情形。

並列關鍵字

hepatocellular carcinoma ； palatine tonsillar metastasis（原發性肝細胞癌 ； 顎扁桃腺轉移）