title: Distant metastasis of rectal adenocarcinoma in a temporary tracheostoma.
abstract: BACKGROUND
  The temporary tracheostoma's metastases of head and neck cancer had already been reported in the literature. So far, they had been considered as regional dissemination of the malignant disease. We report a case of temporary tracheostoma's metastasis of carcinoma from non-head-and-neck primary site, what has not been reported in the literature, yet. Therefore, it is the first reported case of the systemic dissemination of malignant tumour into temporary tracheostoma.
  
  
  METHODS
  Fifty-four-year-old female patient, previously treated for a rectal adenocarcinoma, reported in our office with exophytic pink tissue masses around the temporary tracheostoma. The biopsy and immunohistochemistry findings were consistent with temporary tracheostoma's metastasis of the rectal adenocarcinoma. The patient received palliative radiotherapy and died of systemic progression of the disease.
  
  
  CONCLUSIONS
  The patients with history of primary cancer of any origin and exophytic proliferating changes around the tracheostoma require an appropriate diagnostic work-up including a biopsy. The type of treatment depends on the extent of the disease, previous therapy and general condition of the patient.
authors.affiliation: University Department of Otorhinolaryngology and Head and Neck Surgery, Ljubljana, Slovenia.
authors.forename: Robert
authors.initials: R
authors.lastname: Sifrer
authors.affiliation: Institute of Oncology Ljubljana, Ljubljana, Slovenia.
authors.forename: Primoz
authors.initials: P
authors.lastname: Strojan
authors.affiliation: Institute of Pathology, Faculty of Medicine, Ljubljana, Slovenia.
authors.forename: Nina
authors.initials: N
authors.lastname: Zidar
authors.affiliation: University Department of Otorhinolaryngology and Head and Neck Surgery, Ljubljana, Slovenia.
authors.forename: Miha
authors.initials: M
authors.lastname: Zargi
authors.affiliation: University Department of Otorhinolaryngology and Head and Neck Surgery, Ljubljana, Slovenia.
authors.forename: Ales
authors.initials: A
authors.lastname: Groselj
authors.affiliation: Department of Otorhinolaryngology, General Hospital Novo mesto, Slovenia.
authors.forename: Milena
authors.initials: M
authors.lastname: Krajinovic
keywords: distant metastasis; rectal adenocarcinoma; temporary tracheostoma