Tumours metastasizing to the head and neck – a report of seven cases

Metastatic tumours involving the head and neck region are rare. Over the past 18 years, seven such cases were treated at our clinic. Of those, four were in one of the paranasal sinuses, three had arisen from a primary hepatocellular carcinoma and one from an osteogenic fibrosarcoma of the leg. In the remaining three cases, metastases to the larynx, the tonsil, and the parotid gland arose from a primary renal cell carcinoma, a thyroid carcinoma, and a breast carcinoma, respectively. In metastatic tumours, the primary site can often be identified by the histopathological features. Accordingly, when malignant head and neck tumours are suspected of being metastatic in character, it is important to search carefully for the primary site.

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A rare clinical case: schwannoma of tongue

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20191464 ◽

2019 ◽

Vol 5 (3) ◽

pp. 789

Author(s):

Chandra Veer Singh ◽

Sheetal Radia ◽

Saalim Sheikh ◽

Vijay Haribhakti

Keyword(s):

Head And Neck ◽

Rare Case ◽

Neck Region ◽

Surgical Excision ◽

Imaging Studies ◽

Head And Neck Tumours ◽

Head And Neck Region ◽

Complete Surgical Excision ◽

Slow Growing ◽

Rule Out

Schwannoma are slow growing tumours, which can arise from any peripheral nerve. 10% of schwannomas that occur in the head and neck region mostly originate from the vagus or sympathetic nervous system. Extracranial schwannomas in the head and neck region are rare neoplasm. Intraoral schwannoma are only 1% of the all head and neck tumours. Diagnosis is established by imaging studies such as magnetic resonance imaging or computed tomography, while FNAC is used to rule out other conditions. We report a rare case of lingual schwannomas generally present as a painless lump schwannoma of the tongue in a 27-year-old male complaining of asymptomatic swelling over a posterolateral surface of the tongue, treated by complete surgical excision. The diagnosis was established on the basis of clinical, histopathological, and immunohistochemical examination. We report a rare case of schwannoma over the posterolateral surface of tongue. Prognosis is good for the patient when this condition is correctly diagnosed as the condition rarely recurs after complete resection.

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Metastases of renal cell carcinoma to the larynx and thyroid: Two case reports on metastasis developing years after nephrectomy

Canadian Urological Association Journal ◽

10.5489/cuaj.92 ◽

2012 ◽

Vol 6 (5) ◽

Author(s):

Lutfiye Demir ◽

Cigdem Erten ◽

Isil Somali ◽

Alper Can ◽

Ahmet Dirican ◽

...

Keyword(s):

Renal Cell Carcinoma ◽

Cell Carcinoma ◽

Head And Neck ◽

Renal Cell ◽

Case Reports ◽

Neck Region ◽

Metastatic Potential ◽

Head And Neck Region ◽

Neck Metastases ◽

The Brain

Renal cell carcinoma (RCC) has a high metastatic potential due to its hematogen and vascular features. It metastasizes frequently to the lungs, the bones, the liver, the lymph nodes and the brain. Metastasis of RCC to the head and neck region is quite rare. In this case report, two RCC patients with head and neck metastases are presented: one occurring after 5 years and the other occurring 17 years after diagnosis.

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Prevalence of head and neck tumours in Calabar, South Eastern Nigeria

Asian Journal of Medical Sciences ◽

10.3126/ajms.v7i3.14216 ◽

2016 ◽

Vol 7 (3) ◽

pp. 123-126 ◽

Cited By ~ 2

Author(s):

Okezie Obasi Kanu ◽

Martin A. Nnoli ◽

Chinyere A. Asoegwu

Keyword(s):

Head And Neck ◽

Neck Region ◽

The Body ◽

Slight Variation ◽

Head And Neck Tumours ◽

Female Ratio ◽

Tumor Registry ◽

Head And Neck Region ◽

Head And Neck Malignancies ◽

South Eastern

Background: Malignancies in the head and neck region though relatively rare, compared to other regions of the body, they contribute significantly to morbidity and mortality in affected patients. In Nigeria, the burden of managing head and Neck malignancies is enormous and there is yet to be a unified record of nation-wide incidence of malignancies involving the head and neck region despite the fact the head and neck malignancies have been diagnosed and documented since the 1960’s. The histological pattern and frequency however seems to have some slight variation depending on the region and the identified aetiological risk factors.Aims and Objectives: The aim of this study was to determine the pattern of head and neck tumours seen in the region and the commonest malignancies in the cohort. By comparing the relative prevalence of the lesions with other centers in the country and international published literature we hope to make a case for proper tumour registry and move for nation-wide studies.Materials and Methods: The authors reviewed the histopathological data of the tumor registry at the University of Calabar Teaching Hospital, a major referral Center in South-Eastern Nigeria between 2005 and 2012. All cases of head and Neck tumours with histological diagnosis were included for analysis, their demographic data were obtained and analyzed using SPSSv16.Results: Two hundred and twenty-five specimens from the head and neck region were analyzed during this 6 year period giving an average of 34 cases per year. The Male: Female ratio was 1.2:1.The age range was from 2 years to 76 years with overall mean of 32.7 years. One hundred and forty-five cases (63.3%) were benign while 84 malignant cases (36.7%) were recorded for the study period. The average number of new malignant cases seen was 14 per year. Malignancies were commoner in those less than 50 years of age and were mostly those of epithelial origin.Conclusion: Variations in the regional demographics of head and neck tumors in the country could be accounted for by the differences in data collection methods and certain aetiological factors that may be unique to those regions. A proper tumor registry in each region, harmonized with a national cancer registry may resolve some of these discrepancies.Asian Journal of Medical Sciences Vol. 7(3) 2016 123-126

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Metastatic renal cell carcinoma presenting as an aural polyp

The Journal of Laryngology & Otology ◽

10.1017/s0022215100139350 ◽

1997 ◽

Vol 111 (11) ◽

pp. 1066-1068 ◽

Cited By ~ 13

Author(s):

P. P. C. Ingelaere ◽

R. H. W. Simpson ◽

R. J. N. Garth

Keyword(s):

Renal Cell Carcinoma ◽

Cell Carcinoma ◽

Head And Neck ◽

Metastatic Renal Cell Carcinoma ◽

Renal Cell ◽

Neck Region ◽

Head And Neck Region ◽

Aural Polyp

AbstractRenal cell carcinoma may metastasize to the head and neck region at different stages of its evolution. We present a case of an undiagnosed renal cell carcinoma presenting as an ear polyp, and discuss the difficulties of the diagnosis and the management of these tumours.

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Pilomatricoma in the pinna: a case report

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20185314 ◽

2018 ◽

Vol 5 (1) ◽

pp. 199

Author(s):

C. J. Timna ◽

D. Chandrika

Keyword(s):

Case Report ◽

Head And Neck ◽

Hair Follicle ◽

Histopathological Examination ◽

Neck Region ◽

Excision Biopsy ◽

Skin Tumours ◽

Head And Neck Region ◽

Medial Surface ◽

The Past

Benign calcifying epithelioma of Malherbe or pilomatricoma is rare benign skin tumours, typically seen in head and neck region. This is supposed to arise from hair follicle matrix cells. Though head and neck is the commonest area involved by this tumour, only 4.5% cases have been reported in the pinna. Neck is most commonly involved followed by cheek, scalp, pre auricular and peri orbital areas. Here we report a case of pilomatricoma over medial surface of pinna in a 20 years old female. She had the swelling which was gradually increasing for the past 5 years. Histopathological examination following excision biopsy confirmed the diagnosis.

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Renal Cell Carcinoma, Presenting as Metastasis to the Head and Neck Region.

Practica Oto-Rhino-Laryngologica ◽

10.5631/jibirin.93.855 ◽

2000 ◽

Vol 93 (10) ◽

pp. 855-859

Author(s):

Kiyoaki TSUKAHARA ◽

Takaaki Ito ◽

Tomoyuki YOSIDA ◽

Ko UEDA ◽

Mamoru SUZUKI

Keyword(s):

Renal Cell Carcinoma ◽

Cell Carcinoma ◽

Head And Neck ◽

Renal Cell ◽

Neck Region ◽

Head And Neck Region

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Head and Neck Langerhans Cell Histiocytosis

Annals of Otology Rhinology & Laryngology ◽

10.1177/000348949710600616 ◽

1997 ◽

Vol 106 (6) ◽

pp. 526-532 ◽

Cited By ~ 19

Author(s):

Kenneth O. Devaney ◽

Alfio Ferlito ◽

Mathew J. Putzi ◽

Alessandra Rtnaldo

Keyword(s):

Head And Neck ◽

Langerhans Cell Histiocytosis ◽

Neck Region ◽

Langerhans Cell ◽

Skeletal System ◽

Head And Neck Region ◽

The Past ◽

System Disease ◽

Secondary Infections ◽

Multifocal Disease

Among the potential sites of involvement by Langerhans cell histiocytosis (LCH), the head and neck region is the most commonly cited. Though principally a pediatric disease, LCH can affect any age group. It can be unifocal (skeletal) or multifocal (skeletal and/or visceral); it appears as though the presence of visceral lesions is more common in the youngest patients, and may be associated in some with a rapidly progressive course resulting in death. Head and neck manifestations may mimic such varied entities as eczema, otitis media, osteomyelitis, and cholesteatoma. Current approaches to therapy are less aggressive than they were in the past, and are particularly intended to monitor for and treat any complicating secondary infections (which may develop in the youngest patients with multifocal disease including visceral involvement). The prognosis is very good for unifocal skeletal system disease, and poor for multifocal disease with involvement of tissues other than bone.

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Metastatic renal cell carcinoma presenting as a clear cell tumour in the head and neck region

Oral Oncology Extra ◽

10.1016/j.ooe.2003.12.005 ◽

2004 ◽

Vol 40 (3) ◽

pp. 50-53 ◽

Cited By ~ 4

Author(s):

P.R Jayasooriya ◽

I.A.N.S Gunarathna ◽

A.M Attygalla ◽

W.M Tilakaratne

Keyword(s):

Renal Cell Carcinoma ◽

Cell Carcinoma ◽

Head And Neck ◽

Metastatic Renal Cell Carcinoma ◽

Renal Cell ◽

Clear Cell ◽

Neck Region ◽

Cell Tumour ◽

Head And Neck Region ◽

Clear Cell Tumour

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Pretreatment Pathologic Prognostic Factors in Head and Neck Squamous Cell Carcinoma

Annals of Otology Rhinology & Laryngology ◽

10.1177/000348949710601117 ◽

1997 ◽

Vol 106 (11) ◽

pp. 983-988 ◽

Cited By ~ 3

Author(s):

Kenneth O. Devaney ◽

Alfio Ferlito ◽

Brian C. Hunter ◽

Alessandra Rinaldo

Keyword(s):

Head And Neck ◽

Biopsy Specimen ◽

Neck Region ◽

Head And Neck Region ◽

The Past ◽

Cycle Plays ◽

Pathologic Analysis ◽

Degree Of Differentiation ◽

Lines Of Evidence

Squamous carcinomas of the head and neck region are a common problem for the otolaryngologist; surgeons are obliged to draw together disparate lines of evidence — from physical examination, pathology, and radiology — to plan optimal therapy for their patients. This article explores some of the ways in which pathologic analysis of a biopsy specimen in the past (determination of extent of invasion and degree of differentiation), present (including an analysis of the pattern of infiltration and the tumor's DNA content), and, perhaps, the future (possibilities including cytogenetics and analysis of discrete steps in the cell cycle) plays a role in this process.

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