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Colon adenocarcinoma metastatic to the larynx

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Abstract

Secondary neoplasms of the larynx are rare and account for 0.09 to 0.4% of all laryngeal tumors. These tumors can occur by hematogenous or lymphogenous spread and may represent a diagnostic dilemma when the laryngeal localization is the only manifestation of disease. When multiple metastases are present, the appropriate treatment becomes even more controversial. To our knowledge only 148 cases of metastatic laryngeal neoplasms have been reported in the literature, with cutaneous melanomas and carcinomas from the kidney representing the most frequent primary sites of origin. Our research of the available literature has shown that only nine cases of metastases from colon adenocarcinomas have been described. In general, the overall prognosis of patients with a secondary laryngeal tumor is poor, since involvement of the larynx by a distant tumor commonly occurs in the terminal phase of the primary disease process. As such, the aim of treatment frequently is only to improve the quality of life of the patient. We report a case of colon adenocarcinoma metastatic to the larynx and discuss the problems related to its pathogenesis, diagnosis and treatment.

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References

  1. Batson OV (1940) Function of vertebrae veins and their role in the spread of metastasis. Ann Surg 112: 138–149

    Article  Google Scholar 

  2. Cavicchi O, Farneti G, Occhiuzzi L, Sorrenti G (1990) Laryngeal metastasis from colonic adenocarcinoma. J Laryngol Otol 104: 730–732

    PubMed  CAS  Google Scholar 

  3. Chamberlain D (1966) Malignant melanoma metastatic to the larynx. Arch Otolaryngol 83: 231–232

    PubMed  CAS  Google Scholar 

  4. Ferlito A (1993) Secondary neoplasms. In: Ferlito A (ed) Neoplasms of the larynx. Churchill Livingstone, Edimburgh, pp 349–360

    Google Scholar 

  5. Ferlito A, Caruso G, Recher G (1988) Secondary laryngeal tumors. Report of seven cases with review of the literature. Arch Otolaryngol Head Neck Surg 114: 635–639

    PubMed  CAS  Google Scholar 

  6. Fiaoni M, Colonna A, Leonardi M Jr, Passamonti GL (1989) Metastasi laringea solitaria di carcinoma a piccole cellule polmonari “cosidetto microcitoma”. Descrizione di un caso clinico. Valsalva 65: 203–209

    Google Scholar 

  7. Fisher B, Fisher ER (1970) Significance of the interrelationship of the lymph and blood vascular systems in tumor cell dissemination. Prog Clin Cancer 4: 84–96

    PubMed  CAS  Google Scholar 

  8. Glanz H, Kleinsasser O (1978) Metastasen im Kehlkopf. HNO 26: 163–167

    PubMed  CAS  Google Scholar 

  9. Greenberg RE, Cooper J, Krigel RL, Richter RM, Kessler H, Petersen RO (1992) Hoarseness; a unique clinical presentation for renal cell carcinoma. Urology 40: 159–161

    Article  PubMed  CAS  Google Scholar 

  10. Kruk-Zagajewska A, Wierzbicka M (1995) Metastasis of colon cancer to the larynx: a case report. Otolaryngol Pol 49: 260–265

    PubMed  CAS  Google Scholar 

  11. Maung R, Burke RC, Hwang WS (1987) Metastatic renal carcinoma to larynx. J Otolaryngol 16: 16–18

    PubMed  CAS  Google Scholar 

  12. Morgan AH, Norris JW, Hicks JN (1985) Palliative laser surgery for melanoma metastatic to the larynx: report of two cases. Laryngoscope 95: 794–797

    Article  PubMed  CAS  Google Scholar 

  13. Nicolai P, Puxeddu R, Cappiello J, Peretti G, Battocchio S, Facchetti F, Antonelli AR (1996) Metastatic neoplasms to the larynx: report of three cases. Laryngoscope 106: 851–855

    Article  PubMed  CAS  Google Scholar 

  14. Ogata H, Ebihara S, Mukai K, Mashima K, Saikawa M, Asai M, Noguchi M, Matsuno Y (1993) Laryngeal metastasis from a pulmonary papillary adenocarcinoma: a case report. Jpn J Clin Oncol 23: 199–203

    PubMed  CAS  Google Scholar 

  15. Ohlms LA, McGill T, Healy GB (1994) Malignant laryngeal tumors in children: a 15-year experience with four patients. Ann Otol Rhinol Laryngol 103: 686–692

    PubMed  CAS  Google Scholar 

  16. Pardal-Refoyo JL, de Prada Vincente I, Fonseca E (1995) Laryngeal metastasis of a gastric adenocarcinoma. Ann Otorrinolaringol Ibero Am 22: 281–287

    CAS  Google Scholar 

  17. Park YW, Park MH (1993) Vocal cord paralysis from prostatic carcinoma metastasizing to the larynx. Head Neck 15: 455–458

    Article  PubMed  CAS  Google Scholar 

  18. Shaheen OH (1960) A case of metastatic amelanotic melanoma of the larynx. J Laryngol Otol 74: 182–187

    Article  PubMed  CAS  Google Scholar 

  19. Vider M, Maruyama Y, Narvaez R (1977) Significance of the vertebral venous (Batson's) plexus in metastatic spread in colorectal carcinoma. Cancer 40: 67–71

    Article  PubMed  CAS  Google Scholar 

  20. Welsh LW (1964) The normal human laryngeal lymphatics. Ann Otol Rhinol Laryngol 73: 569–582

    PubMed  CAS  Google Scholar 

  21. Zeidman I (1955) Experimental studies on the spread of cancer in the lymphatic system. III. Tumor emboli in thoracic duct. The pathogenesis of Virchow's node. Cancer Res 15: 719–721

    PubMed  CAS  Google Scholar 

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Puxeddu, R., Pelagatti, C.L. & Ambu, R. Colon adenocarcinoma metastatic to the larynx. Eur Arch Otorhinolaryngol 254, 353–355 (1997). https://doi.org/10.1007/BF02630729

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  • DOI: https://doi.org/10.1007/BF02630729

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