두경부 종양환자에서 경부 림프절의 예기치 않은 병리적 소견

• 영문명: Unexpected Lymph Node Pathology in Neck Dissection for Head and Neck Cancer
• 발행기관: 대한두경부종양학회
• 저자명: 오경균(Kyung Kyoon Oh) 이국행(Guk Haeng Lee) 임상무(Sang Moo Lim) 심윤상(Yoon Sang Shim)
• 간행물 정보: 『대한두경부종양학회지』제10권 제1호, 3~6쪽, 전체 4쪽
• 주제분류: 의약학 > 종양학
• 파일형태: PDF
• 발행일자: 1994.06.30

영문 초록

Neck dissection has become an integral part of the staging and management of head and neck tumors. This paper reports a series of head and neck patients who had pathological findings in their neck dissection specimens, which were unrelated to their primary tumors. In 7 cases, there was unexpected pathology in the cervical lymph nodes which was not related to the primary tumor. Four cases were squamous cell carcinomas and 3 were thyroid carcinomas. In 3 cases of squamous cell carcinomas, there were no evidence of metastatic squamous cell carcinoma in neck dissection specimen; however, the lymph nodes were found to be involved by metastatic papillary carcinoma in one larynx cancer, metastatic adenocarcinoma in the other larynx cancer, tuberculosis in one nasopharynx cancer. In three of neck dissection specimen of carcinoma(two thyroid carcinomas, one laryngeal carcinoma), dual nodal pathology was found: Each of these specimen contained carcinoma with tuberculosis of the lymph nodes in three cases. In one thyroid carcinoma, there was no evidence of metastasis; however, the lymph nodes were found to be involved by tuberculosis. Preoperative assessment did not reveal any findings to alert us to the possibility of a synchronous pathological process in the cervical nodes of this group of 7 patients. In particular, there was no evidence of active pulmonary tuberculosis in the 5 patients with active lymph node disease.

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키워드

Neck dissection Unexpected pathology Tuberculosis