Parapharyngeal metastasis in hepatocellular carcinoma—a rare entity
Autor: | L.S. Ng, J.E. Seet, J. Chee, L.Y. Ooi, G.H. Lee, T. Loh |
---|---|
Rok vydání: | 2021 |
Předmět: |
Hepatitis
medicine.medical_specialty business.industry medicine.medical_treatment Rare entity 030206 dentistry Liver transplantation medicine.disease digestive system diseases Metastasis 03 medical and health sciences 0302 clinical medicine Clinical report Lymphatic system Otorhinolaryngology 030220 oncology & carcinogenesis Hepatocellular carcinoma Parapharyngeal space medicine Surgery Radiology Oral Surgery business |
Zdroj: | International Journal of Oral and Maxillofacial Surgery. 50:1550-1553 |
ISSN: | 0901-5027 |
DOI: | 10.1016/j.ijom.2021.05.012 |
Popis: | Hepatocellular carcinoma (HCC) is the most common primary malignancy of the liver. It most commonly metastasizes haematogenously to the lungs and bones, less commonly via lymphatics to lymph nodes. However, metastasis to the parapharyngeal space has yet to be reported. This is the first clinical report of the treatment of parapharyngeal metastasis from HCC. The case of a 46-year-old man who was found to have a parapharyngeal soft tissue mass during routine follow-up 12 years post deceased-donor liver transplantation for hepatitis B-related HCC is reported here. This was investigated and diagnosed to be metastatic HCC. He underwent excision of the parapharyngeal metastasis, followed by adjuvant radiotherapy. Parapharyngeal metastasis is a rare occurrence in HCC. It is important to be cognizant of the possibility of disease spread to this location in order to ensure early detection and treatment. Surgical excision with adjuvant radiotherapy should be considered to achieve disease control. |
Databáze: | OpenAIRE |
Externí odkaz: |