ABSTRACT
Reportamos el caso de una paciente mujer de 79 años, con historia de 1 año de enfermedad caracterizado por disfagia y tumoración en amígdala derecha y adenopatía cervical. Se le realiza biopsia de tumoración amigdalina que fue diagnosticada como Adenocarcinoma, realizándose posteriormente una gastroscopia encontrándose una lesión en cuerpo y antro con estudio histopatológico de Adenocarcinoma Tubular infiltrante moderadamente diferenciado. La paciente recibió posteriormente quimioterapia con 5FU. Presentamos el caso debido a lo inusual que es encontrar metástasis amigdalina, siendo ésta además la primera manifestación de un cáncer gástrico.
We report the case of a 79 years old female patient, with a one year history of dysphagia, presence of a tumor in the right palatine tonsil and cervical lymph node involvement. A biopsy of the palatine tonsil tumor informed as an adenocarcinoma was performed followed by a gastroscopy that reported a lesion in gastric body and antrum whose histologycal diagnosis was a moderately differentiated tubular adenocarcinoma. The patient received chemotherapy with 5FU. We present this case due to the unusual presentation of metastasis to the palatine tonsil and also for being the first manifestation of a gastric cancer.
Subject(s)
Aged , Female , Humans , Adenocarcinoma/secondary , Stomach Neoplasms/pathology , Tonsillar Neoplasms/secondary , Adenocarcinoma/diagnosis , Stomach Neoplasms/diagnosis , Tonsillar Neoplasms/diagnosisABSTRACT
A 65 year-old man with hepatocellulcar carcinoma (HCC) admitted to treat left lower leg swelling and pus discharge suspecting osteomyelitis. MRI of his lower leg revealed the bone metastasis. Whole body FDG PET/CT additionally detected left shoulder and right ilium metastasis. Hematemesis suddenly developed in this patient after 3 weeks. Metastasis of right tonsil was histologically proven. When we reviewed his FDG PET/CT, there was asymmetric mild hypermetabolism in the right tonsil. When focal hypermetabolism is shown in the organ physiologically taking glucose up such as tonsil, we should cautiously assess whole body PET/CT in the examination of distant metastasis. We present a patient with multiple distant metastasis including tonsil from HCC showing increased FDG uptake with the literature review.