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Inicio Acta Otorrinolaringológica Española Metástasis en la amígdala palatina como primera manifestación de un adenocarc...
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Vol. 56. Issue 9.
Pages 439-440 (November 2005)
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Vol. 56. Issue 9.
Pages 439-440 (November 2005)
Metástasis en la amígdala palatina como primera manifestación de un adenocarcinoma gástrico
Metastasis in the palatine tonsil as the first sign of a gastric adenocarcinoma
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4104
A. Saint-Gerons Marzo
,***
Corresponding author
ssgerons@hsan.osakidetza.net

Correspondencia: Santiago Saint-Gerons Marzo C/ Pintor Vera-Fajardo N°6-4°D 01008 Vitoria.
, B. Catón Santarén**, J.M. Anda Fernández*
* Servicio de Otorrinolaringología. Hospital Santiago Apóstol de Vitoria.
** Servicio de Anatomía Patológica. Hospital Santiago Apóstol de Vitoria.
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Resumen

Los adenocarcinomas gástricos raramente metastatizan en las amígdalas palatinas, habiéndose publicado 12 casos. En 2 de ellos, la tumoración amigdalar fue la primera manifestación de la enfermedad. Presentamos un paciente, con un tumor de amígdala palatina y afectación ganglionar cervical, que fue diagnosticado de adenocarcinoma de células en "anillo de sello" en el estudio histopatológico y citológico. El hallazgo de estas células nos orientó hacia el estómago en la búsqueda del primario.

Palabras clave:
Metástasis amigdalar
Células en "anillo de sello"
Adenocarcinoma gástrico
Diagnóstico
Abstract

Gastric adenocarcinomas rarely give rise to metastases in the palatine tonsils; twelve such cases have been published. In two of them the tonsillar tumour was the first sign of the disease. We present a patient with a tumour of the palatine tonsil and cervical lymph node involvement who was diagnosed as having an adenocarcinoma of "signet ring" cells in the histopathology and cytology studies. Finding such cells directed us to the stomach in our search for the primary.

Key words:
Tonsillar metastasis
Signet ring cells
Gastric adenocarcinoma
Diagnostic

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