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DOI: 10.5935/2526-8732.20230433
A 50-year-old male with oropharyngeal squamous cell carcinoma metastatic to hand soft tissue and bone - a case report
Homem de 50 anos com carcinoma espinocelular de orofaringe metastático em tecidos moles e ossos da mão - relato de casonone to declare
ABSTRACT
A 50-year-old patient was referred to our service for the investigation of oropharynx cancer and was diagnosed with squamous cell carcinoma. Although there were no signs of distant metastasis, the disease was given as unresectable. The patient was treated with induction chemotherapy followed by chemoradiotherapy. After a trauma episode, the patient had pain in the right hand, being investigated with magnetic resonance, which demonstrated lesion of soft parts and bone structures. Additionally, in staging examinations, pulmonary metastasis was observed. Of the patients with oropharynx squamous carcinoma, approximately 15 to 20% develop metastases throughout the course of the disease, and metastases in soft parts are rare (less than 10% of those with known distance disease).
RESUMO
Paciente de 50 anos foi encaminhado ao nosso serviço para investigação de câncer de orofaringe e foi diagnosticado com carcinoma espinocelular. Embora não houvesse sinais de metástase à distância, a doença foi considerada irressecável. O paciente foi tratado com quimioterapia de indução seguida de quimiorradioterapia. Após episódio de trauma, o paciente apresentou dor em mão direita, sendo investigada com ressonância magnética, que demonstrou lesão de partes moles e estruturas ósseas. Além disso, nos exames de estadiamento foi observada metástase pulmonar. Dos pacientes com carcinoma escamoso de orofaringe, aproximadamente 15 a 20% desenvolvem metástases ao longo do curso da doença, e metástases em partes moles são raras (menos de 10% daqueles com doença à distância conhecida).
Publication History
Received: 19 July 2023
Accepted: 06 September 2023
Article published online:
19 October 2023
© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)
Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil
Rivadávio Antunes Menacho de Oliveira, Mariana Suemy Kiara, Eni Medeiros, Pamela Passarelli, Jean Gabriel Vieira Coutinho, Rafael Ricci Ferrari Manéa. A 50-year-old male with oropharyngeal squamous cell carcinoma metastatic to hand soft tissue and bone - a case report. Brazilian Journal of Oncology 2023; 19: e-20230433.
DOI: 10.5935/2526-8732.20230433
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