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篇名	Colon Cancer with Tonsillar Metastasis: A Case Report
作者	Yung-Chi Hou, Huan-Jang Ko, Allen Chih-Hsin Pan, Yuan-Chang Chung
卷期/出版年月	37卷3期 (2004/6)
頁次	123-127
摘要	Metastatic tonsillar cancer is rare. A 63 year-old male patient was a victim of cecal cancer at pathological stage III (T3N1M0). He received right hemicolectomy and postoperative adjuvant chemotherapy with flurouracil and leucovorin. Solitary right lung metastasis was noted one year after the initial operation. Right upper lobectomy was conducted. Pathology revealed metastatic adenocarcinoma without LN metastasis. The histological picture was similar to his previous cecal cancer. Postoperative chemotherapy was thus shifted to combined irinotecan formula. Unfortunately, a tonsillar tumor was noted 6 months later. Tonsillar biopsy showed metastatic adenocarcinoma. He received right tonsillectomy and modified radical neck LN dissection. Although colon cancer with tonsillar metastasis is rare, its occurrence can not be ruled out. Special caution must be paid for this peculiar metastasis and early diagnosis could be made by careful medical examination.
關鍵詞	colon cancer, tonsillar metastasis
分類	Case Report