Aggressive Surgical Resection of Enormous Cervical Metastasis from Nasopharyngeal Carcinoma

While nasopharyngeal carcinoma (NPC) commonly presents lymphoid metastases, the enormous cervical metastasis causing dysphagia and limitation of neck motion is not a familiar symptom for most of NPC cases. We report a 23-year-old male with undifferentiated carcinoma of the nasopharynx, stage Ⅲ (T3N2...

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Bibliographic Details
Main Authors: Sha Fu, Jin-song Li, Eduardo Dias-Ribeiro, Julliana Cariry Palhano Freire, Sheng Sun, Song Fan
Format: Article
Language:English
Published: University of Zagreb. School of Dental Medicine 2019-01-01
Series:Acta Stomatologica Croatica
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Online Access:https://hrcak.srce.hr/file/322566
Description
Summary:While nasopharyngeal carcinoma (NPC) commonly presents lymphoid metastases, the enormous cervical metastasis causing dysphagia and limitation of neck motion is not a familiar symptom for most of NPC cases. We report a 23-year-old male with undifferentiated carcinoma of the nasopharynx, stage Ⅲ (T3N2M0), who had undergone aggressive surgical resection of bilateral huge cervical mass first followed by concurrent chemo-radiotherapy with cisplatin-based regimens. The postoperative clinical course was uneventful and follow-up, 2 years later, revealed no recurrence of primary lesion and neck metastases. We recommend that aggressive surgical resection may be considered when NPC patients significantly suffer clinical symptoms from a huge cervical metastasis.
ISSN:0001-7019
1846-0410