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Adenocarcinoma of the larynx – a distant metastasis from a rectal primary

Published online by Cambridge University Press:  29 June 2007

Andreas W. Hilger ,
Andrew J. Prichard  and
Terry Jones
Andreas W. Hilger*
Affiliation:
Department of Otolaryngology/Head and Neck Surgery, Eye Ear and Throat Hospital, Shrewsbury, UK.
Andrew J. Prichard
Affiliation:
Department of Otolaryngology/Head and Neck Surgery, Eye Ear and Throat Hospital, Shrewsbury, UK.
Terry Jones
Affiliation:
Department of Histopathology, Royal Shrewsbury Hospital, Shrewsbury, UK.
*
Address for correspondence: A. W. Hilger, F.R.C.S., 64 Richmond Street, Stoke-on-Trent, Staffordshire ST4 7DU.
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Abstract

Laryngeal metastases from remote primary tumours are uncommon. They derive mostly from melanomas or renal cell carcinomas. The generally rare laryngeal adenocarcinomas can only be classified as metastatic tumours in the presence of a distant primary of the same histology. Only five cases of a laryngeal secondary originating from adenocarcinoma of the large bowel have been reported in the world literature. A further case is presented which to our knowledge is the first to arise from the rectum, a site which suggests haematogenous tumour spread. This paper emphasizes the need for the search of synchronous metastatic disease and discusses the therapeutic options on the grounds of current management of singular colorectal secondaries.

Keywords

Colorectal neoplasmsNeoplasm metastasesLarynxAdenocarcinoma
Type
Pathology in Focus
Information
The Journal of Laryngology & Otology , Volume 112 , Issue 2 , February 1998 , pp. 199 - 201
Copyright
Copyright © JLO (1984) Limited 1998

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