AN UNUSUAL METASTATIC PATTERN OF LARYNX CANCER: THE FOREARM

¹Ankara Numune Training and Research Hospital, 3^rd Otorhinolaryngology Clinic, Ankara, Turkey
²Gazi University Faculty of Medicine, Department of Radiation Oncology, Ankara, Turkey Early laryngeal cancers usually respond well to treatment, but sometimes the disease may progress aggressively. An adult male patient with T1a glottic cancer underwent narrow field radiation. Initially the disease responded well but in 2 months local recurrence with a tonsillary lesion appeared. The patient underwent a major operation including oropharyngeal resection, total laryngectomy, bilateral neck and paratracheal dissections. Adjuvant chemoradiation was started, but 3 weeks later a biopsy proven metastasis developed on the left forearm. Chemotherapy regimen was readjusted and local radiation was given, but the mass responded partially. Then, lung metastasis developed and the patient died in 3 months. Keywords : Larynx, cancer, metastasis, forearm