原発不明癌の外側咽頭後リンパ節転移の1症例

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  • A case of lateral retropharyngeal lymph node metastasis of unknown origined carcinoma.

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A case of lateral retropharyngeal lymph node metastasis of unknown origined carcinoma is reported. A 67-year-old male visited our hospital complaining of tinnitus and earfullness on the left side. On examination at the first visit, an unfixed, elastic hard mass with a smooth surface was noted in the right mesopharyngeal wall posterior to the palatopharyngeal arch. Under suspicion of a neurogenic tumor, a surgical resection was performed via an external incision of the neck. A pathological examination showed poorly differentiated squamous cell carcinoma. The primary lesion was not found despite various examinations after surgery. The final diagnosis was lateral retropharyngeal lymph node metastases of unknown origined carcinoma. Radiation therapy (60 Gy) was performed over the entire pharynx and neck. No recurrences have been noted in 3 years since irradiation.

収録刊行物

  • 口腔・咽頭科

    口腔・咽頭科 11 (3), 419-424, 1999

    日本口腔・咽頭科学会

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