胆嚢癌の扁桃転移例

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A 67-year-old female patient visited Nagoya Univcrsity Hospital complaining of bloody sputum and swelling of the right side of the neck three years after she had had a three lobe and caudal lobe resection of the liver and pancreato-duodenal resection for advanced gall bladder carcinoma. Inspection revealed a right tonsilar mass and ipsilateral lymphadenopathy of the neck.Biopsy showed a moderately well-differentiated adenocarcinoma. A diagnosis of metastatic tumor of the tonsil was made as this histological picture corresponded with that of the primary tumor of the gallbladder. Management consisted of surgical resection of the tumor mass and right radical neck dissection with reconstruction by an MC flap. The postoperative recovery was uneventful, and the patient has had no signs of recurrence or evidence of metastatic deposits elsewhere, six months following Surgery.
耳鼻咽喉科臨床学会の論文