喉癌除颈淋巴结外转移至其他部位者较少,尤其是转移至心脏者更不多见。但由于使用化学疗法者日益普遍,远处转移率亦相应增高。本文报道一名58岁男性喉癌患者,未用化疗而发生了心脏转移。患者于1977年11月因比较广泛的喉外鳞癌并有颈结转移,在根治性手术后加用放疗, Laryngeal cancer is less likely to metastasize to other sites except for cervical lymph nodes, especially to the heart. However, as the use of chemotherapy is becoming more common, the rate of distant metastases has also increased. This article reports a 58-year-old male patient with laryngeal cancer who developed cardiac metastases without chemotherapy. The patient was treated with radiotherapy after radical surgery due to a wide range of extralarynal squamous cell carcinoma with neck metastasis in November 1977.