Lung squamous cell carcinoma metastasizing to the nasopharynx following bronchoscopy intervention therapies: a case report

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• 作者：Jian-bin Hu (11)
  Mei Jin (12)
  En-guo Chen (13)
  Xiao-nan Sun (11)
  
  11. Department of Radiation Oncology ; Sir Run Run Shaw Hospital of Zhejiang University Medical School ; No. 3 Qingchun East Road ; 310016 ; Hangzhou ; Zhejiang Province ; China
  12. Department of Pathology ; Sir Run Run Shaw Hospital of Zhejiang University Medical School ; No. 3 Qingchun East Road ; 310016 ; Hangzhou ; Zhejiang Province ; China
  13. Department of Respiratory Medicine ; Sir Run Run Shaw Hospital of Zhejiang University Medical School ; No. 3 Qingchun East Road ; 310016 ; Hangzhou ; Zhejiang Province ; China
  
• 关键词：Lung cancer ; Metastasis ; Nasopharynx ; Squamous cell carcinoma
• 刊名：World Journal of Surgical Oncology
• 出版年：2014
• 出版时间：December 2014
• 年：2014
• 卷：12
• 期：1
• 全文大小：546 KB
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• 刊物主题：Surgical Oncology;
• 出版者：BioMed Central
• ISSN：1477-7819

文摘

Metastatic carcinoma to the nasopharynx is extremely rare, and few cases have been reported in the literature. In the present report, we describe the case of a patient with a mass in the nasopharynx found by bronchoscopy. Our patient was a 61-year-old man receiving multiple bronchoscopy intervention therapies for advanced lung squamous cell carcinoma (SCC), which was histopathologically confirmed. The SCC metastasized to the nasopharynx following the bronchoscopy intervention therapies. The lesion was considered metastatic from lung cancer on the basis of clinical and histological clues. The exact mechanism of lung cancer metastasis to the nasopharynx in this case remains unclear because either implantation or hematogenous and lymphatic spread is possible. A thorough head and neck examination should be undertaken during bronchoscopic evaluation, especially in patients receiving bronchoscopy intervention therapies. The early detection of a silent nasopharyngeal metastasis is important to choosing from among the multiple treatment options available.