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Hepatocellular Carcinoma Metastatic to the Palatine Tonsil

Yu-Hsuan Wen a, Rong-Hsing Yang a, Pei-Rong Chen a, b, Tzung-Shiahn Sheen c, Hung-Pin Wu b, d, e

aDepartment of Otolaryngology, Buddhist Tzu Chi General Hospital, Hualien, Taiwan
bSchool of Medicine, College of Medicine, Tzu Chi University, Hualien, Taiwan
cDepartment of Otolaryngology, National Taiwan University Hospital, Taipei, Taiwan
dDepartment of Otolaryngology, Buddhist Tzu Chi General Hospital, Taipei Branch, Taipei, Taiwan
eInstitute of Occupational Medicine and Industrial Hygiene, National Taiwan University, Taipei, Taiwan

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Metastatic cancer to the palatine tonsil is extremely rare. We describe a 66-year-old man who was diagnosed with hepatocellular carcinoma 2 years previously and who had the sensation of having a lump in his throat for 1 month before presentation. One reddish-blue, ulcerated, granular tumor was found at his right tonsillar fossa. After tonsillectomy, pathology showed metastatic hepatocellular carcinoma. The patient died from sepsis and hepatic failure 9 months later.


Hepatocellular carcinoma; Metastatic cancer; Palatine tonsil


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