tailieunhanh - Báo cáo y học: " Axillary nodal metastasis at primary presentation of an oropharyngeal primary carcinoma: a case report and review of the literature"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Axillary nodal metastasis at primary presentation of an oropharyngeal primary carcinoma: a case report and review of the literature | JOURNAL OF MEDICAL Sr CASE REPORTS Open Access Case report Axillary nodal metastasis at primary presentation of an oropharyngeal primary carcinoma a case report and review of the literature Bruce J Mckenzie and James W Loock Address Department of Otorhinolaryngology Faculty of Health Science University of Stellenbosch Tygerberg 7505 South Africa Email BJM - mckenzie@ JWL - jwl@ Corresponding author Received 13 May 2008 Accepted 22 January 2009 Published 13 August 2009 Journal ofMedical Case Reports 2009 3 7230 doi 1752-1947-3-7230 This article is available from http jmedicalcasereports article view 7230 2009 Mckenzie and Loock licensee Cases Network Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Axillary nodal metastasis is very rare in head and neck squamous cell carcinoma. The few cases reported in the literature all involve patients who have previously undergone either neck dissection alone or neck dissection and radiotherapy to the neck and subsequently develop delayed recurrences of disease with axillary nodal involvement. Case presentation We present the case of a 62-year-old man of Cape Malay ethnicity who presented with an oropharyngeal squamous cell carcinoma and cervical and axillary nodal metastasis at primary presentation. Conclusion Whilst previous reports in the literature suggest routine examination of the axilla is advisable in patients with previously treated neck cancer and recurrence of head and neck cancer we propose that the axilla should be routinely examined in new cases particularly when there is involvement of the level 5 nodes. Introduction The management of the neck in squamous cell carcinoma of the head and neck is based on the predictable .