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Kobeissi JM, Youssef B, Mobayed T. Two-year follow-up of a thyroid cartilage metastasis from prostate cancer: A case report. Radiol Case Rep 2023; 18:3748-3752. [PMID: 37636542 PMCID: PMC10450348 DOI: 10.1016/j.radcr.2023.07.071] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2023] [Revised: 07/24/2023] [Accepted: 07/28/2023] [Indexed: 08/29/2023] Open
Abstract
Few case reports describe metastatic prostate cancer to the thyroid cartilage. While earlier reports identified the metastatic lesions upon developing symptoms, more recent ones have detected them via prostate-specific membrane antigen positron emission tomography (PSMA PET). Herein, we report the case of a patient with metastatic castrate-resistant prostate cancer and a PSMA PET-detected lesion in the thyroid cartilage. Over the course of 2 years, he received multiple lines of chemotherapy and hormonal therapy, and his overall disease status fluctuated - some nodal and bony metastases resolved while others appeared anew. His thyroid cartilage lesion, however, slowly progressed in a consistent fashion with increasing uptake on successive PSMA PET images. Apart from mild dysphonia, the patient remained to be asymptomatic from this lesion, and no local therapies were used. To our knowledge, this is the first close follow-up of prostate cancer metastatic to the thyroid cartilage, shedding light on the course of such lesions and helping answer management-related questions, which are particularly relevant as more occult metastases are discovered in the PSMA PET era.
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Affiliation(s)
- Jana M. Kobeissi
- Department of Radiation Oncology, American University of Beirut, Beirut, Lebanon
| | - Bassem Youssef
- Department of Radiation Oncology, American University of Beirut, Beirut, Lebanon
| | - Tala Mobayed
- Department of Radiation Oncology, American University of Beirut, Beirut, Lebanon
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2
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Aljariri AA, Nashwan AJ, Hammoud R, Wazwaz B, Al Hyassat S, Haidar H. Metastatic sigmoid adenocarcinoma to the larynx: A case report and updated literature review. Clin Case Rep 2023; 11:e6942. [PMID: 36789305 PMCID: PMC9909257 DOI: 10.1002/ccr3.6942] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2022] [Revised: 11/07/2022] [Accepted: 01/27/2023] [Indexed: 02/11/2023] Open
Abstract
Metastatic laryngeal cancer is a rare entity, usually indicating an advanced disease once discovered. In this report, we are describing a case of a 60-year-old male patient with stage IV colorectal cancer (CRC), who presented to our clinic with dysphonia; further workups showed metastatic CRC.
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Affiliation(s)
- Adham A. Aljariri
- Otolaryngology DepartmentAmbulatory Care Center (ACC), Hamad Medical Corporation (HMC)DohaQatar
| | - Abdulqadir J. Nashwan
- Nursing DepartmentHazm Mebaireek General Hospital, Hamad Medical CorporationDohaQatar
| | - Rani Hammoud
- Otolaryngology DepartmentAmbulatory Care Center (ACC), Hamad Medical Corporation (HMC)DohaQatar
| | - Bara Wazwaz
- Pathology DepartmentHamad General Hospital (HGH), Hamad Medical Corporation (HMC)DohaQatar
| | - Samir Al Hyassat
- Pathology DepartmentHamad General Hospital (HGH), Hamad Medical Corporation (HMC)DohaQatar
| | - Hassan Haidar
- Otolaryngology DepartmentAmbulatory Care Center (ACC), Hamad Medical Corporation (HMC)DohaQatar
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3
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Haddad G, Sataloff RT, Hamdan AL. Laryngeal Metastatic Lesions: A Literature Review. J Voice 2022:S0892-1997(22)00170-9. [PMID: 35918235 DOI: 10.1016/j.jvoice.2022.06.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2022] [Accepted: 06/10/2022] [Indexed: 11/29/2022]
Abstract
BACKGROUND Cancer ravages all aspects of a patient's life. In recent decades, there has been a substantial paradigm shift in the treatment of cancer with an emphasis on quality of life and patient comfort. Patients are treated holistically, a complex task given how multifaceted cancers are. Voice, a subtle indicator of patients' well-being is affected commonly by malignancies. One of the various ways by which voice is disturbed by non-laryngeal cancers is through metastasis to the larynx and adjacent areas. Metastasis to the larynx is rare but well-documented. If not diagnosed in a timely fashion, it can have devastating consequences on patients from life-threatening airway obstruction to progressive dysphonia that erodes their quality of life. Metastatic lesions of the larynx usually appear submucosal with intact overlying mucosa and are located most commonly in the supraglottis. Deep biopsies usually are needed for diagnosis, and management may entail endoscopic resection or other treatments. OBJECTIVES This paper reviews the literature to identify typical features of laryngeal metastatic lesions of the ten cancers that are among the most common worldwide, ie, skin, renal, breast, colorectal, lung, prostate, thyroid and liver. By summarizing their most prevalent locations in the larynx, type and appearance, the authors hope to aid physicians in their diagnostic process, particularly in cases in which laryngeal involvement is the first presenting sign of a malignancy.
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Affiliation(s)
- Ghassan Haddad
- Department of Otolaryngology and Head & Neck Surgery, American University of Beirut-Medical Center, Beirut, Lebanon
| | - Robert Thayer Sataloff
- Department of Otolaryngology-Head and Neck Surgery, Drexel University College of Medicine, Philadelphia, Pennsylvania
| | - Abdul-Latif Hamdan
- Department of Otolaryngology and Head & Neck Surgery, American University of Beirut-Medical Center, Beirut, Lebanon.
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Bosco S, Prijs K, Licata J, Schwartz SA, Lesser R. A Unique Case of Metastatic Prostate Carcinoma to the Subglottis. EAR, NOSE & THROAT JOURNAL 2022:1455613221086528. [PMID: 35324324 DOI: 10.1177/01455613221086528] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Affiliation(s)
- Samuel Bosco
- Philadelphia College of Osteopathic Medicine, PA, USA
| | - Kristen Prijs
- Philadelphia College of Osteopathic Medicine, PA, USA
| | - Jordan Licata
- Philadelphia College of Osteopathic Medicine, PA, USA
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Gupta N, Verma R, Belho ES. Metastatic Thyroid Cartilage Lesion from Prostatic Adenocarcinoma on 68Ga-Prostate-Specific Membrane Antigen Positron Emission Tomography-Computed Tomography Scan: Case Series. Indian J Nucl Med 2021; 36:183-188. [PMID: 34385791 PMCID: PMC8320823 DOI: 10.4103/ijnm.ijnm_218_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2020] [Revised: 12/02/2020] [Accepted: 12/07/2020] [Indexed: 11/04/2022] Open
Abstract
Prostate cancer usually metastasizes to regional lymph nodes and bone. Laryngeal cartilage metastases are very rare and only few cases have been published so far describing thyroid cartilage metastatic lesions from prostate cancer. Here, we describe 5 cases of carcinoma prostate, 3 staging and 2 follow-up, where 68Ga-prostate-specific membrane antigen positron emission tomography/computed tomography (PET/CT) scan revealed multiple skeletal lesions along with thyroid cartilage metastasis. Initially, laryngeal cartilage metastases remain asymptomatic and in later stages patients present with symptoms. These metastatic lesions to thyroid cartilage are rare entities and can often easily be missed on conventional imaging. PET-CT imaging has overcome this diagnostic problem due to its ability to provide for both anatomical and functional imaging.
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Affiliation(s)
- Nitin Gupta
- Department of Nuclear Medicine, Mahajan Imaging Centre, Sir Ganga Ram Hospital, New Delhi, India
| | - Ritu Verma
- Department of Nuclear Medicine, Mahajan Imaging Centre, Sir Ganga Ram Hospital, New Delhi, India
| | - Ethel Shangne Belho
- Department of Nuclear Medicine, Mahajan Imaging Centre, Sir Ganga Ram Hospital, New Delhi, India
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6
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Gao J, Myuran T, Chaurasia M. Metastasis of prostate carcinoma to the thyroid cartilage presenting with airway obstruction. BMJ Case Rep 2021; 14:e240396. [PMID: 33602778 PMCID: PMC7896564 DOI: 10.1136/bcr-2020-240396] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/02/2021] [Indexed: 11/04/2022] Open
Affiliation(s)
- Jack Gao
- Ear, Nose and Throat Department, Mid and South Essex Hospital Services NHS Trust, Chelmsford, Essex, UK
| | - Tharsika Myuran
- Ear, Nose and Throat Department, Mid and South Essex Hospital Services NHS Trust, Chelmsford, Essex, UK
| | - Madhup Chaurasia
- Ear, Nose and Throat Department, Mid and South Essex Hospital Services NHS Trust, Chelmsford, Essex, UK
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Tupalli A, Damle NA, Thankarajan AS, Mangu BS, Kumar A, Khan D, Sagar S, Bal C. An Unusual Case of Simultaneous Cricoid and Thyroid Cartilage Metastases from Prostatic Adenocarcinoma on 68Ga-PSMA PET/CT. Nucl Med Mol Imaging 2019; 54:61-62. [PMID: 32206134 DOI: 10.1007/s13139-019-00625-7] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2019] [Revised: 10/23/2019] [Accepted: 11/19/2019] [Indexed: 11/27/2022] Open
Abstract
Although prostate cancer can metastasize to any part of the body, laryngeal cartilage metastasis is extremely rare and few cases have been published so far. Here we present the case of a 65-year-old male patient, recently diagnosed with prostate adenocarcinoma, referred for staging with 68Ga-PSMA PET/CT. He was found to have extensive skeletal metastasis along with cartilage metastasis involving both thyroid and cricoid cartilages.
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Affiliation(s)
- Avinash Tupalli
- Department of Nuclear Medicine, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029 India
| | - Nishikant Avinash Damle
- Department of Nuclear Medicine, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029 India
| | | | - Bharadwaj Srinivas Mangu
- Department of Nuclear Medicine, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029 India
| | - Arunav Kumar
- Department of Nuclear Medicine, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029 India
| | - Dikhra Khan
- Department of Nuclear Medicine, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029 India
| | - Sambit Sagar
- Department of Nuclear Medicine, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029 India
| | - Chandrasekhar Bal
- Department of Nuclear Medicine, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029 India
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Asymptomatic Metastasis to Thyroid Cartilage Detected by 18F-Choline and 64Cu-PSMA PET/CT as a Single Site of Disease Relapse in a Patient With Castration-Resistant Prostate Carcinoma. Clin Nucl Med 2019; 45:214-216. [DOI: 10.1097/rlu.0000000000002786] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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9
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Unusual Presentation of Prostate Cancer Metastatic to the Cricoid Cartilage and Oral Cavity. Case Rep Med 2018; 2018:5207204. [PMID: 29692814 PMCID: PMC5859834 DOI: 10.1155/2018/5207204] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2017] [Accepted: 12/25/2017] [Indexed: 11/17/2022] Open
Abstract
In Mexico, prostate cancer is the second leading cause of death in men. Prostate cancer usually presents metastasis to the regional lymph nodes and bone. Hereby, we present an unusual case of metastatic prostate cancer, with affectation to the cricoid cartilage and oral cavity, being the first case to have ever been reported in Mexico. A 68-year-old Mexican man was diagnosed with prostate cancer and cribriform architecture histology with low serum level of prostate-specific antigen, debuting with laryngeal stridor. The biopsy came back positive for metastatic prostate carcinoma. During treatment with radiotherapy, metastasis developed to the oral cavity.
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Zenga J, Mehrad M, Bradley JP. Metastatic Cancer to the Larynx: A Case Report and Update. J Voice 2015; 30:774.e9-774.e12. [PMID: 26743607 DOI: 10.1016/j.jvoice.2015.11.017] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2015] [Accepted: 11/20/2015] [Indexed: 10/22/2022]
Abstract
OBJECTIVE The aim of this study was to describe a case of colorectal carcinoma metastatic to the larynx and provide a review of the current literature. METHODS A case report with chart review was performed. A review of the current literature was performed by systematically searching PubMed, OVID, CINAHL Plus, and EMBASE. RESULTS In 1988, a comprehensive literature review identified melanoma as the most common neoplasm to exhibit laryngeal involvement. Since that study, 41 subsequent cases have been reported, and among these, colorectal adenocarcinoma was the most frequent distant primary (24%). In 25 (58%) cases, curative surgery was attempted, but only 4 patients remained disease-free at last follow up. We report the history of a 52-year-old man who presented with rectal adenocarcinoma metastatic to his larynx 4 years after definitive treatment of the primary site. CONCLUSIONS In patients with a laryngeal mass and a history of colorectal cancer, or those at high risk of having an occult colorectal primary, metastatic spread to the larynx must always be considered. Although secondary laryngeal metastasis portends a poor prognosis, for the select patient, surgical intervention can provide long-term disease control.
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Affiliation(s)
- Joseph Zenga
- Department of Otolaryngology, Washington University, 660 S. Euclid Ave, Saint Louis, Missouri, 63110
| | - Mitra Mehrad
- Department of Pathology, University of Pittsburgh Medical Center, UPMC Presbyterian, 200 Lothrop Street, Pittsburgh, PA 15213
| | - Joseph P Bradley
- Department of Otolaryngology, Washington University, 660 S. Euclid Ave, Saint Louis, Missouri, 63110.
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Ng SJK, Sinha AK, Loi HY, Khor LK. Asymptomatic metastasis to cricoid from prostate carcinoma: an incidental finding detected on 18F-choline PET/CT. Jpn J Radiol 2015; 33:298-301. [DOI: 10.1007/s11604-015-0415-4] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2015] [Accepted: 03/18/2015] [Indexed: 10/23/2022]
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12
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Claassen H, Schicht M, Sel S, Paulsen F. Special pattern of endochondral ossification in human laryngeal cartilages: X-ray and light-microscopic studies on thyroid cartilage. Clin Anat 2014; 27:423-30. [DOI: 10.1002/ca.22309] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2013] [Revised: 07/19/2013] [Accepted: 07/23/2013] [Indexed: 02/06/2023]
Affiliation(s)
- Horst Claassen
- Department of Anatomy and Cell Biology; Martin-Luther-University Halle-Wittenberg; Große Steinstraße 52, D-06097 Halle (Saale) Germany
- Department of Anatomy; Christian-Albrechts-University Kiel; Olshausenstraße 40, D-24098 Kiel Germany
| | - Martin Schicht
- Department of Anatomy 2; Friedrich-Alexander-University Erlangen-Nürnberg; Universitätsstraße 19; D-91052 Erlangen Germany
| | - Saadettin Sel
- Department of Ophthalmology; Ruprecht-Karls-University Heidelberg; Im Neuenheimer Feld 400, D-69120 Heidelberg Germany
| | - Friedrich Paulsen
- Department of Anatomy 2; Friedrich-Alexander-University Erlangen-Nürnberg; Universitätsstraße 19; D-91052 Erlangen Germany
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