Carcinoma Glottis with Isolated Pelvic Bone Metastasis

Abstract

Bony metastasis from primary glottic carcinoma is a rare occurrence. 62 year old male presented with history of hoarseness of voice, swelling in left side of neck and swelling in right lower back. Physical examination revealed enlarged single left level II cervical lymph node. Direct laryngoscopy and biopsy established it a case of moderately differentiated squamous cell carcinoma glottis. X ray pelvic bone revealed osteolytic destruction right superior iliac crest, bone scan showed increased tracer uptake in right iliac bone and cytology from this bony lesion showed metastatic squamous cell carcinoma with cystic change and acute inflammation. Subsequently patient was treated with palliative radiotherapy to the metastatic as well as primary site. Thus a strong possibility of distant metastasis should always be considered in symptomatic patients of advanced head and neck cancer