[Thyroid's metastasis of tonsillar squamous cell carcinoma].
The authors describe the case of a 58 years old man, affected by squamous cell carcinoma of the tonsil, who underwent left tonsillectomy with bilateral neck dissection, followed by radiotherapy. After a 6 months period, the patient began to suffer from dysphonia, dysphagia and loss of weight: a painless neoformation was detected at the right lobe of the tyhroid, resulted a metastasis of the tonsillar neoplasm. The search for intranodular thyroglobulin was negative; the patient underwent thyroidectomy which showed a massive infiltration of the right cricothyroid space, cricoid and thyroid wing cartilage necrosis and intralaryngeal tumor infiltration. The authors describe the thyroid metastasis treatment, present an up-to-date review of the literature and suggest a thyroid careful clinical evaluation in every patient with a previous history of oropharyngeal cancer.
Scanelli
Giovanni
G
U.O. di Medicina Interna, Azienda Ospedaliera Universitaria Arcispedale Sant'Anna, Ferrara. g.scanelli@ospfe.it
Aimoni
Claudia
C
Marchetti
Elisabetta
E
Geminiani
Matteo
M
Pastore
Antonio
A
D001706:Biopsy; D002294:Carcinoma, Squamous Cell / Q000175:diagnosis* / Q000556:secondary* / Q000628:therapy; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D008875:Middle Aged; D013964:Thyroid Neoplasms / Q000175:diagnosis* / Q000556:secondary* / Q000628:therapy; D014067:Tonsillar Neoplasms / Q000473:pathology*; D016896:Treatment Outcome