AI Article Synopsis

  • A 77-year-old woman with a history of breast cancer developed a left-sided aryepiglottic fold metastasis, which caused obliteration of the left piriform sinus and displayed a lobulated shape with mild enhancement on CT scans.
  • A biopsy confirmed that the lesion was a metastasis from poorly differentiated adenocarcinoma, indicating the spread of breast cancer.
  • The patient also had a concurrent diagnosis of a right ovarian tumor identified as clear cell adenocarcinoma and was treated with chemotherapy following the discovery of multiple metastases and cervical lymphadenopathy.

Article Abstract

We report the CT findings in a 77-year-old woman with left-sided aryepiglottic fold metastasis from breast cancer diagnosed 7 years previously. The lesion obliterated the left piriform sinus, had a lobulated contour and showed mild and heterogeneous enhancement on a post-contrast CT examination. Biopsy of the lesion revealed metastasis from poorly differentiated adenocarcinoma, compatible with metastasis of the breast carcinoma. Before detection of the laryngeal lesion, a second primary tumor in the right ovary was diagnosed. After right oopherectomy, histopathology revealed clear cell adenocarcinoma. The patient also had multiple subcutaneous metastases and bilateral cervical lymphadenopathies. Chemotherapy was applied to the patient.

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