Grevers G
Hals-Nasen-Ohrenklinik und Poliklinik der Universität München.
Laryngol Rhinol Otol (Stuttg). 1987 Oct;66(10):534-5.
Enlarged cervical lymph nodes are a common feature in advanced head and neck cancer. In the present paper the case of a 58 year old male patient is reported, who was suffering from a huge carcinoma of the base of tongue. He also complained of bilateral cervical swellings, which were regarded as enlarged, metastatic lymph nodes prior to operation. When performing a bilateral, elective neck dissection, the swellings appeared as aneurysms of the extracranial part of the internal carotid artery. Aneurysms of the supraaortic branches are very rare and mainly located in the subclavian or axillary arteries. Only a few cases of bilateral aneurysms of the internal carotid artery have been described in the literature so far. Nevertheless, this peculiar morphological feature must be considered in the differential diagnosis of bilateral enlarged lymph nodes in head and neck cancer patients.
颈部淋巴结肿大是晚期头颈癌的常见特征。本文报道了一例58岁男性患者，该患者患有巨大的舌根部癌。他还主诉双侧颈部肿胀，术前这些肿胀被认为是肿大的转移性淋巴结。在进行双侧择期颈部清扫术时，这些肿胀表现为颈内动脉颅外段的动脉瘤。主动脉弓上分支的动脉瘤非常罕见，主要位于锁骨下动脉或腋动脉。迄今为止，文献中仅描述了少数双侧颈内动脉动脉瘤的病例。然而，在对头颈癌患者双侧肿大淋巴结进行鉴别诊断时，必须考虑到这种特殊的形态学特征。
