a1 Royal National Throat, Nose and Ear Hospital, Gray's Inn Road, London, UK.
Metastatic carcinoma of the ethmoids is very rare. Of the few cases reported in the literature, the majority are renal in origin. Although metastases from the gastrointestinal tract have been reported. there are no known cases of metastases from the stomach.
We present a rare case of metastatic adenocarcinoma of the ethmoids in a patient previously treated for adenocarcinoma of the stomach and describe the possible mechanisms of spread. The patient had a craniofacial resection of the tumour but unfortunately died four weeks post-operatively from acute liver failure probably caused by a liver metastasis.
(Accepted April 14 1995)
c1 Mr Anthony O. Owa, F.R.C.S., ENT Department, Charing Cross Hospital, Fulham Palace Road, London W6