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Korean Journal of Head & Neck Oncology 2012;28(1):16-18.
Published online May 30, 2012.
A Case of Bilateral Tonsillar Cancer Discovered in Metastatic Carcinoma of Unknown Origin
Jeong-Seok Cho;Jae-Yol Lim;Chang Dok Han;Young-Mo Kim
원발미상의 경부 전이암에서 발견된 양측 편도암 1예
최정석;임재열;한창덕;김영모
Abstract
Ipsilateral tonsillectomy and panendoscopy-guided biopsy following imaging studies are considered a stan-dard procedure in the search for a primary origin in patients with cervical metastatic carcinoma of unknown origin(MUO). However, many authors recommended bilateral tonsillectomy for the determination of the pri-mary site of a MUO, because cervical metastasis may occur contralateral to tonsillar carcinoma. The authors attempted to address the clinical implications of using routine bilateral tonsillectomy to determine the primary site of MUOs based on a case report of cervical MUO that was finally diagnosed as a bilateral synchronous tonsillar carcinoma with cervical metastasis after a diagnostic work-up that included bilateral tonsillectomy.
Key Words: Tonsillar cancer, Unknown primary, Squamous cell carcinoma, Lymphatic metastasis


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