Recurrent local advanced hypopharyngeal squamous cell carcinoma with isolated quadriceps femoralis metastasis  Hung-Ling Huang, Wei-Tsung Wu  The Kaohsiung.

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Recurrent local advanced hypopharyngeal squamous cell carcinoma with isolated quadriceps femoralis metastasis  Hung-Ling Huang, Wei-Tsung Wu  The Kaohsiung Journal of Medical Sciences  Volume 30, Issue 11, Pages 589-590 (November 2014) DOI: 10.1016/j.kjms.2014.02.007 Copyright © 2014 Terms and Conditions

Figure 1 (A) X-ray of the left femur revealed a soft-tissue calcification approximately 3.5 × 4.2 cm in size at the medial aspect of the distal thigh medial to the femur. (B) Magnetic resonance imaging of bilateral lower limbs revealed high signal on T2-weighted sequences and gadolinium enhancement of infiltrative fusiform soft-tissue tumor approximately 5.2 × 4.9 cm in size, adjacent to the medial aspect of the left distal femur. (C) Microscopy with hematoxylin and eosin stain (200×) of the left thigh soft-tissue tumor showed that it was composed of neoplastic cells with hyperchromatic, pleomorphic nuclei, distinct nucleoli, and Keratin pearls. The surrounding stroma contains inflammatory lymphocyte infiltration. (D) Whole body positron emission tomography–computed tomography revealed only left quadriceps femoralis metastases without any distant metastatic lesions found. The Kaohsiung Journal of Medical Sciences 2014 30, 589-590DOI: (10.1016/j.kjms.2014.02.007) Copyright © 2014 Terms and Conditions