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Singh et al. J Cancer Metastasis Treat 2017;3:78-81 Journal of
DOI: 10.20517/2394-4722.2017.08
Cancer Metastasis and Treatment

www.jcmtjournal.com
Case Report Open Access

Chest wall metastasis in squamous cell

carcinoma of buccal mucosa

Jayesh Shyamnandan Singh, Ashutosh Das Sharma

Gujarat Cancer and Research Institute, Radiotherapy Room 54 Civil Hospital Campus Asarawa, Ahmedabad, Gurarat 380016, India.
Correspondence to: Dr. Jayesh Shyamnandan Singh, Gujarat Cancer and Research Institute, Radiotherapy Room 54 Civil Hospital Campus
Asarawa, Ahmedabad, Gurarat 380016, India. E-mail: dr.singh3788@yahoo.com
How to cite this article: Singh JS, Sharma AD. Chest wall metastasis in squamous cell carcinoma of buccal mucosa. J Cancer Metastasis Treat
2017;3:78-81.
ABSTRACT
Article history: Metastases from head and neck cancers is rare occurrence. The common form of failure/
Received: 23-01-2017 recurrence in these cancers are local site recurrence or nodal metastases. Distant metastases
Accepted: 07-03-2017 are very rare and are most commonly seen in the lung, brain, liver and bones, and the latent
Published: 28-04-2017 period between the development of the primary and the distant metastases is usually long.
There are very few cases reported of chest wall metastases from squamous cell carcinoma
Key words: of head and neck. This article reports such a case of squamous cell carcinoma of buccal
Head and neck, mucosa metastasizing to the chest wall four months after primary therapy. The metastasis
squamous cell carcinoma, was treated with local palliative radiotherapy to the chest wall. This case is special as the
chest wall, present knowledge on this type of presentation is limited in the medical literature.
metastasis

INTRODUCTION survival of this subgroup of patients. [5] Though
distant metastasis are considered uncommon sites of
Head and neck malignancy is a major burden of cancer failure for primary head and neck cancer, increased
worldwide being the sixth most common malignancy. [1] survival has resulted in an apparent increase in
It is the most common cancer in developing countries distant metastasis. The incidence of distant metastasis
and its incidence shows an increasing trend. [2] In in patient of squamous cell carcinoma of oral cavity
[6,7]
southeast Asia region, the oral cavity is the most is low, i.e. approximately 15% to 20% of patients.
Most common sites for distant metastasis in these
prevalent site of head and neck squamous cell cases are lung, liver, bone, thyroid. But distant
[8]
carcinoma. [3] Widespread use of smokeless tobacco metastasis to sites other than these, such as
products such as pan and supari in this population is kidney, diaphragm, heart, brain, adrenal, thyroid
the major cause of this high incidence. Advancement pancreas and peritoneum are uncommon. The risk
[4]
[9]
in the treatment of primary head and neck cancers of distant metastasis increases with the increase in
has resulted in improvement of loco-regional control number of histologically positive lymph nodes and with
as well increased disease free survival and overall the presence of extranodal spread. [10] We report such

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