title: Distant muscular (rectus femoris) metastasis from laryngeal squamous cell carcinoma.
abstract: OBJECTIVE
  We report an extremely rare case of distant metastasis to the rectus femoris muscle from a laryngeal squamous cell carcinoma.
  
  
  METHODS
  We present a case report and a review of the world literature concerning distant skeletal muscle metastasis from head and neck squamous cell carcinoma.
  
  
  RESULTS
  The patient showed no evidence of distant muscular recurrence at follow up after 21 months; however, two years later he died from brain and suprarenal metastases.
  
  
  CONCLUSIONS
  This report describes the first case of haematogenous distant metastasis to the left rectus femoris muscle from a laryngeal squamous cell carcinoma, without evidence of cervical lymph node metastases. To the best of our knowledge, this is the second reported case of muscular distant metastasis without cervical lymph node involvement. Although the prognosis associated with skeletal muscle metastasis is considered to be poor, surgical excision may be indicated for an isolated muscular metastasis.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Gulhane Military Medical Academy Haydarpasa Training Hospital, Istanbul, Turkey. yakulahci@yahoo.com
authors.forename: Y
authors.initials: Y
authors.lastname: Kulahci
authors.forename: F
authors.initials: F
authors.lastname: Zor
authors.forename: O
authors.initials: O
authors.lastname: Onguru
authors.forename: M
authors.initials: M
authors.lastname: Bozkurt
authors.forename: H
authors.initials: H
authors.lastname: Duman
mesh_terms: D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000556:secondary*; D017809:Fatal Outcome; D006801:Humans; D007822:Laryngeal Neoplasms / Q000473:pathology*; D008297:Male; D019042:Muscle Neoplasms / Q000556:secondary*; D052097:Quadriceps Muscle