Page 88 - Read Online
P. 88

Singh et al.                                                                                                                                                     Chest wall metastasis in head and neck carcinoma























           Figure 3: Computed tomography showing the local recurrent lesion at the flap site
                                                              cell carcinoma of buccal mucosa is a rare occurrence
                                                              with no reported case in published  literature.  The
                                                              present knowledge on this topic is very limited and
                                                              this case report is intended  to add to the existing
                                                              information. This will help in better management of the
                                                              patients who present with this rare incidence.

                                                              Authors’ contributions
                                                              Concept, manuscript development  and literature
                                                              search: J.S. Singh, A.D. Sharma

                                                              Financial support and sponsorship
                                                              None.

                                                              Conflicts of interest
                                                              There are no conflicts of interest.
                                                              Patient consent
                                                              Patient consent was acquired.
           Figure 4: Histopathology slide showing malignant squamous cell
           (HE, ×40)                                          Ethics approval
                                                              The study has been approved.
           surgical  dissemination of  primary tumor  cell  can  be
           safely  ruled out as  the  site  of distant  metastasis  is   REFERENCES
           not  continuous with  the  surgical  bed.  Hematogenous
           spread  can  be  another  explanation for  these rare   1.    Parkin  DM, Stjernswärd  J, Muir CS. Estimates  of the  worldwide
           recurrences. [14]  In literature, kidney, diaphragm, heart,   frequency of twelve major cancers.  Bull  World Health Organ
           brain, adrenal, thyroid, pancreas and peritoneum have   1984;62:163-82.
           been  mentioned as rather  rare  sites of  metastasis   2.    Mishra A, Meherotra R. Head and neck cancer: global burden and
           in head  and neck  squamous  cell  carcinoma.  The   3.   regional trends in India. Asian Pac J Cancer Prev 2014;15:537-50.
                                                     [9]
                                                                 Bhurgri Y, Bhurgri A, Usman A, Pervez S, Kayani N, Bashir I, Ahmed
           prognosis of these  cases  remain  poor and the       R, Hasan SH. Epidemiological review of head and neck cancers in
           intention of therapy  is usually  palliative  with  either   Karachi. Asian Pac J Cancer Prev 2006;7:195-200.
           excision, palliative local  radiotherapy or  palliative   4.   Dayal  PK, Mani  NJ, Bhargava  K. Prevalence  of  oral  cancer  and
           chemotherapy for widespread systemic metastasis. [15]    precancerous lesions in ‘pan’/‘supari’ chewers. Indian J Public Health
           After thorough search of literature,  we  couldn’t  find  a   1978;22:234-45.
           case  report  on buccal  mucosa  presenting  with chest   5.   Genden EM, Ferlito A, Bradley PJ, Rinaldo A, Scully C. Neck disease
                                                                 and distant metastases. Oral Oncol 2003;39:207-12.
           wall metastasis which makes this case extremely rare.  6.   Edward CH, Luther WB, Carlos AP, David EW. Perez and Brady’s
                                                                 principles  and  practice  of radiation  oncology, 6th  ed.  Philadelphia:
           In conclusion, chest  wall  metastasis  from  squamous   Lippincott-Raven; 2013.
            80                                                                       Journal of Cancer Metastasis and Treatment ¦ Volume 3 ¦ April 28, 2017
   83   84   85   86   87   88   89   90   91   92   93