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

• 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
• ISSN: 0385-8146; 1879-1476
• DOI: 10.1016/j.anl.2009.01.010

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.