Korean Journal of Head & Neck Oncology (대한두경부종양학회지)

The Korean Society for Head and Neck Oncology (대한두경부종양학회)
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A Case of Bilateral Tonsillar Cancer Discovered in Metastatic Carcinoma of Unknown Origin

원발미상의 경부 전이암에서 발견된 양측 편도암 1예

  • Choi, Jeong-Seok (Department of Otorhinolaryngology-Head and Neck Surgery, Inha University School of Medicine) ;
  • Lim, Jae-Yol (Department of Otorhinolaryngology-Head and Neck Surgery, Inha University School of Medicine) ;
  • Han, Chang-Dok (Department of Otorhinolaryngology-Head and Neck Surgery, Inha University School of Medicine) ;
  • Kim, Young-Mo (Department of Otorhinolaryngology-Head and Neck Surgery, Inha University School of Medicine)
  • 최정석 (인하대학교 의과대학 이비인후과학교실) ;
  • 임재열 (인하대학교 의과대학 이비인후과학교실) ;
  • 한창덕 (인하대학교 의과대학 이비인후과학교실) ;
  • 김영모 (인하대학교 의과대학 이비인후과학교실)
  • Received : 2011.12.30
  • Accepted : 2012.02.28
  • Published : 2012.05.25
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Abstract

Ipsilateral tonsillectomy and panendoscopy-guided biopsy following imaging studies are considered a standard procedure in the search for a primary origin in patients with cervical metastatic carcinoma of unknown origin(MUO). However, many authors recommended bilateral tonsillectomy for the determination of the primary site of a MUO, because cervical metastasis may occur contralateral to tonsillar carcinoma. The authors attempted to address the clinical implications of using routine bilateral tonsillectomy to determine the primary site of MUOs based on a case report of cervical MUO that was finally diagnosed as a bilateral synchronous tonsillar carcinoma with cervical metastasis after a diagnostic work-up that included bilateral tonsillectomy.

원발미상의 경부 전이암의 경우에 있어 동시성 양측 편도암은 드물며, 일부에서는 일측 편도 절제술을 선호하나, 본 증례와 같이 양측 편도암이 발견되는 경우가 있고 또한, 양측 편도절제술이 일측 편도절제술보다 이환율이 크지 않기 때문에 양측 편도 절제술을 시행하는 것이 타당하다고 생각된다.

Keywords

References

  1. Koch WM, Bhatti N, Williams MF, Eisele DW. Oncologic rationale for bilateral tonsillectomy in head and neck squamous cell carcinoma of unknown primary source. Otolaryngol Head Neck Surg. 2001;124:331-333.
  2. Kazak I, Haisch A, Jovanovic S. Bilateral synchronous tonsillar carcinoma in cervical cancer of unknown primary site(CUPS). Eur Arch Otorhinolaryngol. 2003;260:490-493.
  3. Randall DA, Johnstone PA, Foss RD, Martin PJ. Tonsillectomy in diagnosis of the unknown primary tumor of the head and neck. Otolaryngol Head Neck Surg. 2000;122:52-55.
  4. Kothari P, Randhawa PS, Farrell R. Role of tonsillectomy in the search for a squamous cell carcinoma from an unknown primary in the head and neck. Br J Oral Maxillofac Surg. 2008;46:283-287.
  5. Price T, Pickles J. Synchronous bilateral tonsillar carcinoma: Role of fluoro-deoxyglucose positron emission tomography scanning in detecting occult primary tumours in metastatic nodal disease of the head and neck. J Laryngol Otol. 2006;120:334-337.