A 50-year-old male with oropharyngeal squamous cell carcinoma metastatic to hand soft tissue and bone - a case report
Brazilian Journal of Oncology
A 50-year-old male with oropharyngeal squamous cell carcinoma metastatic to hand soft tissue and bone - a case report
Autor Correspondente: Rivadávio Antunes Menacho de Oliveira | [email protected]
Palavras-chave: Oropharynx; Soft parts; Squamous cell carcinoma.
Resumos Cadastrados
Resumo Português:
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).
Resumo Inglês:
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).
