A case of palatine tonsillar metastasis of lung adenocarcinoma A CARE-compliant article

Chia Chun Chen, Chin Tse Lee, Shih Lun Chang*, Meng Chen Tsai

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

2 Scopus citations

Abstract

Rationale: Palatine tonsil is an extremely rare site for metastatic disease, accounting for 0.8% of malignant tonsillar neoplasms. To the best of our knowledge, this is the first report of metastatic adenocarcinoma in the tonsil treated with wide excision and targeted therapy, with no local recurrence 6 months postoperatively. Patient concerns: A 75-year-old man presented hemoptysis and mild productive cough for 2 weeks. Diagnoses: Palatine tonsil metastasis from lung adenocarcinoma, pT2bN0M1b, stage IVA, was confirmed. Interventions: Wide excision of primary lung tumor and metastatic tonsil carcinoma has been performed, and the patient was undergoing targeted therapy with the epidermal growth factor receptor inhibitor afatinib. Outcomes: There was no local recurrence in the oropharynx 6 months postoperatively. Lessons: We aim at highlighting the importance of a thorough evaluation for suspicion of tonsillar enlargement, which might be a sign of a primary malignancy elsewhere.

Original languageEnglish
Article numbere15763
JournalMedicine (United States)
Volume98
Issue number22
DOIs
StatePublished - 01 05 2019
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2019 the Author(s).

Keywords

  • lung adenocarcinoma
  • tonsil neoplasm
  • tonsillar metastasis

Fingerprint

Dive into the research topics of 'A case of palatine tonsillar metastasis of lung adenocarcinoma A CARE-compliant article'. Together they form a unique fingerprint.

Cite this