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Vol.63 No.2 contents

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- Case Report -

A Case of Lung Adenocarcinoma with Epipharyngeal Metastasis During Chemotherapy

Hiroki Sato¹, Naoyuki Okabe², Hironori Takagi³, Mika Hoshino⁴, Hiroyuki Suzuki^2
1Japanese Red Cross Fukushima Hospital, Japan, ²Department of Chest Surgery, Fukushima Medical University School of Medicine, Japan, ³Iwaki City Medical Center, Japan, ⁴Ohara General Hospital, Japan

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Background. Lung cancer metastasis to the epipharynx is extremely rare. Case. Right cervical lymphadenopathy appeared after six courses of chemotherapy with cisplatin, pemetrexed, and bevacizumab and ten courses of maintenance therapy with pemetrexed and bevacizumab for right lung adenocarcinoma (pT2aNxM1a; stage IVA). Contrast enhanced computed tomography showed cervical lymphadenopathy, and nasopharyngeal fiberscopy showed an uplifting lesion in the epipharynx. Consequently, a biopsy during nasopharyngeal fiberscopy was performed, leading to a diagnosis of lung adenocarcinoma with epipharyngeal metastasis. Radiation therapy improved the symptoms. Conclusion. When neck swelling or nasopharyngeal symptoms are observed in lung cancer patients, it is considered that an appropriate treatment selection can be made by carefully examining the presence of lung cancer metastasis and head and neck cancer.
key words: Lung cancer, Epipharyngeal metastasis

Received: September 5, 2022
Accepted: November 17, 2022

JJLC 63 (2): 111-114, 2023