Sheng LM, Zhang LZ, Xu HM, Zhu Y. Ascending colon adenocarcinoma with tonsillar metastasis: A case report and review of the literature. World J Gastroenterol 2008; 14(46): 7138-7140 [PMID: 19084924 DOI: 10.3748/wjg.14.7138]
Corresponding Author of This Article
Dr. Yuan Zhu, Department of Radiation Oncology, Zhejiang Cancer Hospital, 38 Banshan Road, Hangzhou 310022, Zhejiang Province, China. drzhuyuan@hotmail.com
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Li-Ming Sheng, Li-Zhen Zhang, Yuan Zhu, Department of Radiation Oncology, Zhejiang Cancer Hospital, Hangzhou 310022, Zhejiang Province, China
Hai-Miao Xu, Department of Pathology, Zhejiang Cancer Hospital, Hangzhou 310022, Zhejiang Province, China
Author contributions: Sheng LM performed the radiation therapy and wrote the manuscript; Zhang LZ contributed to the clinical data and performed the physical examination; Xu HM interpreted the histological and immunohistochemical data; Zhu Y conceived the study, interpreted the immunohistochemical data, and performed the radiation therapy.
Correspondence to: Dr. Yuan Zhu, Department of Radiation Oncology, Zhejiang Cancer Hospital, 38 Banshan Road, Hangzhou 310022, Zhejiang Province, China. drzhuyuan@hotmail.com
Telephone: +86-571-88122062 Fax: +86-571-88122508
Received: September 26, 2008 Revised: October 23, 2008 Accepted: October 30, 2008 Published online: December 14, 2008
Abstract
Metastatic palatine tonsil cancer is extremely rare, with nearly 100 such tumors reported in the English literature. The prognosis of metastatic palatine tonsil cancer is poor. A 53-year-old man presented with painless left palatine tonsillar swelling and a cervical mass following right hemicolectomy for an ascending colon adenocarcinoma. Physical examination showed an ulcerated mass located on the upper pole of the left palatine tonsil. A punch biopsy was taken for histological examination which showed a moderately-differentiated adenocarcinoma. The patient was treated with palliative radiotherapy and chemotherapy. He was still alive when we wrote this paper. Our case shows that immunohistochemical diagnosis of metastatic palatine tonsil cancer is essential.
