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Dermatomyositis bei Tonsillenkarzinom |
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| Authors: | Dr. E. Scholz D. Trebing S. Knipping |
| Affiliation: | 1. Klinik für Hals-, Nasen- und Ohrenheilkunde, Kopf- und Halschirurgie, Plastische Operationen, St?dtisches Klinikum Dessau, Dessau, Deutschland 3. Klinik für HNO-Heilkunde, Kopf- und Halschirurgie, Plastische Operationen, Gesundheitszentrum Bitterfeld/Wolfen, Friedrich-Ludwig-Jahn-Str. 2, 06749, Bitterfeld-Wolfen, Deutschland 2. Klinik für Dermatologie, Venerologie und Allergologie, Immunologisches Zentrum, St?dtisches Klinikum Dessau, Dessau, Deutschland |
| Abstract: | BackgroundMalignant tumors occur in up to 15?% of patients with paraneoplastic syndromes. The temporal association between malignancy and paraneoplasia is variable. Dermatomyositis belongs to the facultative cutaneous paraneoplasia.Case reportA patient presented with a cervical swelling and preexisting dermatomyositis. Staging revealed a tonsillar carcinoma with cervical, mediastinal and bone metastasis, and meningeal carcinomatosis. Systemic intrathecal chemotherapy was initiated.ConclusionDermatomyositis has only been described four times worldwide as a paraneoplastic disease with tonsillar carcinoma. Upon occurrence of a paraneoplastic syndrome, an intensive search for tumours is required at regular intervals until the primary tumor is diagnosed. |
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