Rowicki Tomasz, Pietniczka-Załęska Mirosława
Department of Descriptive and Clinical Anatomy, Center of Biostructure Research, Medical University of Warsaw, ul. Chałubińskiego 5, 02-004 Warsaw, Poland.
Ear Nose Throat J. 2015 Apr-May;94(4-5):E25-9.
Only a small number of cases of myiasis have been previously reported in patients with a head and neck malignancy; most of these occurred in patients with primary or metastatic skin cancer. We report a case of massive Lucilia sericata myiasis in the neck of a 57-year-old man with primary squamous cell carcinoma of the larynx and hypopharynx that metastasized to the neck lymph nodes. The neck disease manifested as necrosis and skin involvement. Clinical examination revealed an extensive wound within the neck tumor at levels II and V on the right that was heavily infested with maggot larvae. Removal of larvae clusters was performed, and the isolated larvae were subsequently identified as L sericata. To the best of our knowledge, this is the first report of an infestation of L sericata myiasis in a metastasis to the neck lymph nodes.
此前仅有少数头颈部恶性肿瘤患者发生蝇蛆病的病例报告；其中大多数发生在原发性或转移性皮肤癌患者中。我们报告一例57岁男性喉部和下咽原发性鳞状细胞癌转移至颈部淋巴结后颈部发生大面积丝光绿蝇蛆病的病例。颈部病变表现为坏死和皮肤受累。临床检查发现右侧II区和V区颈部肿瘤内有一个大面积伤口，被大量蛆虫幼虫严重感染。进行了幼虫团块清除，随后鉴定分离出的幼虫为丝光绿蝇。据我们所知，这是丝光绿蝇蛆病侵袭颈部淋巴结转移灶的首例报告。
