반대측 경부 림프절로 전이된 초기 설암의 치험례

• 영문명: CONTRALATERAL NECK LYMPH NODE METASTASIS OF EARLY TONGUE CANCER : A CASE REPORT
• 발행기관: 대한구강악안면외과학회
• 저자명: 권명희(Myung-Hee Kwon) 김성일(Sung-Il Kim) 김평수(Pyoung-Soo Kim) 임대호(Dae-Ho Leem) 신효근(Hyo-Keun Shin) 고승오(Seung-O Ko)
• 간행물 정보: 『대한구강악안면외과학회지』대한구강악안면회과학회지 제35권 제5호, 376~379쪽, 전체 4쪽
• 주제분류: 의약학 > 내과학
• 파일형태: PDF
• 발행일자: 2009.10.30

영문 초록

Likely to be the most common oral cancer, squamous cell carcinoma(SCC) of the tongue accounts for about 20% of all oral and pharyngeal cancers. SCC of the tongue frequently arises in the lateral border, and if it metastasize, it occurs on submandibular gland and neck lymph nodes. Location of the primary lesions and neck lymph node metastasis affect the prognosis and decrease survival rate of patients with carcinoma of the tongue. The authors experienced the patient with contralateral neck lymph node metastasis of SCC of the tongue. The patient came to our department with chief complaint of elevated lesion on left lateral border of the tongue. The mass was diagnosed as T2N0M0, Stage II invasive SCC of oral tongue. Computed tomography(CT) & magnetic resonance imaging(MRI) which were taken before the operation showed no significant finding of metastasis. Surgical mass removal and preventive neck dissection on the left side were done. While follow up PET/CT, contralateral neck lymph node metastasis(right side, level II) was detected, and re-operation(Rt. side RND) was done. There are few studies concerning the contralateral neck lymph node metastasis related with SCC of the tongue. The purpose of this report is to introduce the uncommon case of contralateral neck lymph node metastasis occurred in the T2-stage of SCC of the tongue treated by surgical resection.

키워드

Tongue cancer Squamous cell carcinoma Contralateral lymph node metastatsis