Abstract
A man in his mid 70s was referred to head and neck outpatients with bulky tissue in the left tonsillar fossa. He had previously been treated for oligometastatic renal clear cell carcinoma (diagnosed over 15 years prior to disease recurrence) by tonsillectomy and adjuvant radiotherapy (years from primary treatment), followed by trans-oral laser surgery to his oropharyngeal recurrence 3 years later. Examination under anaesthetic and biopsy confirmed further recurrence of disease in the left tonsillar fossa, with parapharyngeal extension, which has not been previously reported in the literature. After discussion in the head and neck and urology multi-disciplinary teams meeting, the patient was offered trans-oral robotic-assisted surgery (TORS) for local control and prevention of progression of a fungating oropharyngeal mass. TORS partial pharyngectomy and left buccal artery myomucosal flap reconstruction were successfully carried out, with preservation of some swallow function.
Reference26 articles.
1. A case of palatine tonsillar metastasis of lung adenocarcinoma: a CARE-compliant article;Chen;Medicine,2019
2. Malignant Melanoma Metastatic to the Tonsil
3. Cutaneous melanoma with tonsillar metastasis;Pakos;Tumori,2006
4. Salmonella Scepticaemia Mimicking Leptospirosis
5. Palatine tonsillar metastasis of lung cancer during chemotherapy;Hong;Int J Clin Exp Pathol,2012
Cited by
1 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献