Browse > Article

A Case of Bilateral Tonsillar Cancer Discovered in Metastatic Carcinoma of Unknown Origin  

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)
Publication Information
Korean Journal of Head & Neck Oncology / v.28, no.1, 2012 , pp. 16-18 More about this Journal
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.
Keywords
Tonsillar cancer; Unknown primary; Squamous cell carcinoma; Lymphatic metastasis;
Citations & Related Records
연도 인용수 순위
  • Reference
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.