転移性扁桃腫瘍の1例

Tonsillar Metastasis of Hepatoma: Report of a Case

　I．緒言

　耳鼻咽喉科領域への悪性腫瘍の転移は，頸部リンパ節を除けば，頻度が少ない。とくに扁桃への転移はきわめてまれである。

　今回われわれは原発性肝癌が扁桃へ転移した症例を経験した。この症例の臨床経過を報告するとともに，扁桃への転移性腫瘍について考察したので報告する。

　A 33-year-old male was admitted to Toranomon Hospital with a complaint of chest pain. Examinations revealed liver cirrhosis and hepatoma in the left lobe. Radical resection of the hepatoma was performed successfully. However, he develeped continuous bleeding from the throat 3 months after the operation. A small granulomatous mass was observed at the upper pole of the left tonsil. Histological examination revealed metastatic hepatoma. The left tonsil including the metastatic tumor was removed, and the bleeding was completely ceased. Unfortunately, the patient died 3 months after tonsillectomy. Autopsy revealed that there were metestasis in cerebral hemispheres, right lobe of the liver, gall bladder, stomach, right adrenal grand and nasopharynx.

　The metastatic route was disscussed with a special referrence to the characteristic features of this case.