Unusual distant metastasis from epidermoid carcinoma of the larynx: acrometastasis to the soft parts of the wrist

[摘要] A case of metastasis to soft parts of the wrist (acrometastasis) from an epidermoid carcinoma of the larynx was presented. The case of a 65-year-old male patient, who underwent total laryngectomy with radical dissection of the right neck and functional dissection of the other side was presented. The operation was performed 12 months ago due to a supraglotic and glotic lesion. 30 days after surgery, the patient was irradiated with cobalt therapy in both necks. At present, he presents increase of the volume of the soft parts of the anterior region of the left wrist, so a fine needle aspiration biopsy was performed. The biopsy yielded a positive report of metastasis from epidermoid carcinoma and of multiple metastases in both lung fields.

[学科分类] 外科医学

[关键词] Metastasis to soft parts;acrometastasis;epidermoid carcinoma of the larynx;total laryngectomy;radical dissection of the neck;radiotherapy.