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Vol.50 No.1 contents | Japanese/English |
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- Case Report -
A Case of Lung Cancer with Epipharyngeal Metastasis
Kazuto Takada1, Shuuichi Matsumoto1, Tetsuo Hiramatsu1, Eiji Kojima1, Hiroyuki Tanaka21Division of Respiratory and Allergy Medicine, Komaki Municipal Hospital, Japan, 2Division of Respiratory Medicine and Allergology, Aichi Medical University School of Medicine, Japan
Background. Only 2 cases of lung cancer with epipharyngeal metastasis have been reported in Japan. Lung cancer metastasizes to the epipharynx extremely rarely. Case. An 81-year-old woman with a past history of large cell carcinoma of the lung presented with nasal obstruction. Magnetic resonance imaging (MRI) revealed a mass in the epipharynx and a bulky tumor covered with necrotic tissue was found by nasopharyngoscopy. The histology of the epipharyngeal tumor was the same as that of the primary lung cancer. A diagnosis of lung cancer with epipharyngeal metastasis was given. Local radiation therapy dramatically improved symptoms. Conclusion. We reported an extremely rare case of epipharyngeal metastasis from lung cancer 22 months after diagnosis of the primary lesion. Systemic chemotherapy with local control is preferable unless the patient's condition deteriorates.
key words: Lung cancer, Epipharyngeal metastasis, Metastatic epipharyngeal tumor
Received: April 9, 2009
Accepted: October 9, 2009
JJLC 50 (1): 33-36, 2010
