一例极为罕见的在原发性喉癌之前出现德尔菲淋巴结大转移的病例。
An extremely rare case of large Delphian node metastasis preceding primary laryngeal cancer.
作者信息
Murono Shigeyuki, Hirota Kyoko, Kondo Satoru, Wakisaka Naohiro, Furukawa Mitsuru, Yoshizaki Tomokazu
机构信息
Department of Otolaryngology, Head and Neck Surgery, Kanazawa University, Takaramachi, Japan.
出版信息
Auris Nasus Larynx. 2009 Oct;36(5):614-7. doi: 10.1016/j.anl.2009.01.010. Epub 2009 Mar 3.
OBJECTIVES
To present an extremely rare case of large Delphian node metastasis preceding primary laryngeal cancer.
MATERIALS AND METHODS
A 74-year-old male who noted a mass on the lower anterior neck and consulted our department immediately. The mass rapidly grew to 6cm from 2cm in diameter within 2 months after the initial presentation.
RESULTS
Fiberoptic laryngoscopy was unremarkable. Surgical excision of the lesion showed well differentiated squamous cell carcinoma with invasion into the surrounding tissues. Postoperative radiotherapy was added. During follow-up after those treatments, thickening of the right vocal cord was observed, which gradually became more apparent. Total laryngectomy was performed 13 months after the initial operation.
CONCLUSION
Delphian node metastasis is included in the differential diagnosis in a case of rapidly increasing mass in the anterior neck.
目的
呈现一例极为罕见的原发性喉癌之前出现巨大德尔菲淋巴结转移的病例。
材料与方法
一名74岁男性，发现颈部前下方有肿物，遂立即到我科就诊。肿物在初次就诊后2个月内直径迅速从2cm增长至6cm。
结果
纤维喉镜检查未见异常。病变手术切除显示为高分化鳞状细胞癌，侵犯周围组织。术后追加放疗。在这些治疗后的随访期间，观察到右侧声带增厚，且逐渐变得更加明显。初次手术后13个月进行了全喉切除术。
结论
对于颈部前方肿物迅速增大的病例，德尔菲淋巴结转移应纳入鉴别诊断。
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