An extremely rare case of large Delphian node metastasis preceding primary laryngeal cancer

Abstract Objectives To present an extremely rare case of large Delphian node metastasis preceding primary laryngeal cancer. Materials and methods A 74-year-old male who noted a mass on the lower anterior neck and consulted our department immediately. The mass rapidly grew to 6 cm from 2 cm in diamet...

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Bibliographic Details
Published in:Auris, nasus, larynx nasus, larynx, 2009-10, Vol.36 (5), p.614-617
Main Authors: Murono, Shigeyuki, Hirota, Kyoko, Kondo, Satoru, Wakisaka, Naohiro, Furukawa, Mitsuru, Yoshizaki, Tomokazu
Format: Article
Language:English
Subjects:
Aged
Carcinoma, Squamous Cell - pathology
Carcinoma, Squamous Cell - secondary
Carcinoma, Squamous Cell - surgery
Delphian node
Fiber Optic Technology
Head and Neck Neoplasms - secondary
Head and Neck Neoplasms - surgery
Humans
Laryngeal cancer
Laryngeal Neoplasms - pathology
Laryngeal Neoplasms - surgery
Laryngectomy
Laryngoscopy
Lymph Nodes - surgery
Lymphatic Metastasis
Male
Neoplasm Invasiveness
Otolaryngology
Radiotherapy, Adjuvant
Rare Diseases
Reoperation
Thyroglossal duct carcinoma
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Summary:Abstract Objectives To present an extremely rare case of large Delphian node metastasis preceding primary laryngeal cancer. Materials and methods A 74-year-old male who noted a mass on the lower anterior neck and consulted our department immediately. The mass rapidly grew to 6 cm from 2 cm in diameter within 2 months after the initial presentation. Results Fiberoptic laryngoscopy was unremarkable. Surgical excision of the lesion showed well differentiated squamous cell carcinoma with invasion into the surrounding tissues. Postoperative radiotherapy was added. During follow-up after those treatments, thickening of the right vocal cord was observed, which gradually became more apparent. Total laryngectomy was performed 13 months after the initial operation. Conclusion Delphian node metastasis is included in the differential diagnosis in a case of rapidly increasing mass in the anterior neck.
ISSN:0385-8146
1879-1476
DOI:10.1016/j.anl.2009.01.010