title: [Metastasis to the ENT area].
abstract: We report three patients with metastases to the ENT-region mimicking a primary malignant tumour. A 36-year-old woman presented with vertigo, sudden hearing loss, partial facial palsy and headaches. CT scan suggested a meningioma or an acoustic neuroma. Histological examination of the neoplasm removed surgically showed a metastasis from an amelanotic melanoma. A 38-year-old woman with nodules in the tongue had dysphagia. The history revealed that she had been treated successfully with chemotherapy for a carcinoma of the uterine cervix one year ago. Histological examination of a tongue biopsy showed a metastasis from the uterine carcinoma. The primary tumour was in complete remission. The third patient was treated for recurrent epistaxis. Physical examination showed a tumour in the right nasal cavity. A CT scan showed a tumour of the ethmoid cells and of the maxillary sinus, protruding into the nose. Histology and immunohistology proved a metastasis from a primary carcinoma of the liver. Ultrasound and CT scan of the liver confirmed the diagnosis.
authors.affiliation: HNO-Klinik, Universitätsklinikum Rudolf Virchow.
authors.forename: D
authors.initials: D
authors.lastname: Knöbber
authors.forename: V
authors.initials: V
authors.lastname: Jahnke
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D006528:Carcinoma, Hepatocellular / Q000175:diagnosis / Q000556:secondary; D002528:Cerebellar Neoplasms / Q000175:diagnosis / Q000556:secondary; D003937:Diagnosis, Differential; D005004:Ethmoid Bone / Q000473:pathology; D005260:Female; D006801:Humans; D008113:Liver Neoplasms / Q000175:diagnosis; D008297:Male; D008545:Melanoma / Q000175:diagnosis / Q000556:secondary; D010039:Otorhinolaryngologic Neoplasms / Q000175:diagnosis / Q000556:secondary*; D012878:Skin Neoplasms / Q000175:diagnosis; D012888:Skull Neoplasms / Q000175:diagnosis / Q000556:secondary; D014062:Tongue Neoplasms / Q000175:diagnosis / Q000556:secondary; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis
vernacular_title: Metastasierung in den HNO-Bereich.