This report deals with a male patient of 31 years and a female patient of 35 years, succumbed to so-called cylindroma, both originating in the right nasal cavity with wide spread metastatic tumor formations in the whole body after extirpation.
Both two cases were histologically diagnosed as cylindroma during their lifetimes and after repeated recurrences wide spread metastases resulted.
At the section, metastases were found in case I, cerebral base, dura, hypophysis, pleura, lungs, mediastinum, thyroid gland, lymph nodes, heart, liver, kidnies, peritoneum, thoracic vertebrae, ribs, left adrenal gland and the skin of the whole boby. In case II, metastases were found in cerebral base, pleura, lungs, sternum, ribs, thoracic vertebrae, thymus, diaphragm, liver, ovaries, uterus and periaortic lymph nodes.
Histologically, biopsy speciemen or extirpation materials of the early stages showed typical honeycomb or cribriform arrangement of epithelial cells. But in the later stages or at the section, malignancy of the tumor was increased and typical crobriform structure was decreased, having tendency to fall carciaoma simplex.
It is considered that these two cases belong to the “malignant cylindroma” because of their malignancy.
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