CRCM  Vol.3 No.1 , January 2014
Parotid lymph node metastasis in a patient with tongue cancer
ABSTRACT


Parotid lymph node (LN) metastasis occurs most commonly from cutaneous squamous cell carcinoma (CSCC) of the head and neck, but rarely from oral squamous cell carcinoma (OSCC). Here, we present a rare case of metastasis to the parotid LN in a patient with tongue cancer. Although usual extent of modified radical neck dissection that includes resection of the tail of the parotid gland is below the line of the mandibular angle and the mastoid process was performed, the parotid LN metastasis occurred. The patient was treated with partial parotidectomy and chemoradiotherapy. One year and two months later, there was no evidence of local recurrence, although multiple lung metastases were observed. We also review the literature on parotid LN metastasis from OSCC.



Cite this paper
Yamagata, K. , Kanno, N. , Ito, H. , Hasegawa, S. , Yanagawa, T. , Onizawa, K. and Bukawa, H. (2014) Parotid lymph node metastasis in a patient with tongue cancer. Case Reports in Clinical Medicine, 3, 23-27. doi: 10.4236/crcm.2014.31006.
References
[1]   Bumpous, J. (2009) Metastatic cutaneous squamous cell carcinoma to the parotid and cervical lymph nodes: treatment and outcomes. Current Opinion in Otolaryngology & Head and Neck Surgery, 17, 122-125.
http://dx.doi.org/10.1097/MOO.0b013e32832924e0

[2]   Audet, N., Palme, C.E., Gullane, P.J., Gilbert, R.W., Brown, D.H., Irish, J. and Neligan, P. (2004) Cutaneous metastatic squamous cell carcinoma to the parotid gland: Analysis and outcome. Head & Neck, 26, 727-732.
http://dx.doi.org/10.1002/hed.20048

[3]   Conley, J. and Arena, S. (1963) Parotid gland as a focus of metastasis. Archives of Surgery, 87, 757-764.
http://dx.doi.org/10.1001/archsurg.1963.01310170043009

[4]   Ord, R.A., Ward-Booth, R.P. and Avery, B.S. (1989) Parotid lymph node metastases from primary intra-oral squamous carcinomas. International Journal of Oral and Maxillofacial Surgery, 18, 104-106.
http://dx.doi.org/10.1016/S0901-5027(89)80141-9

[5]   Harada, H. and Omura, K. (2009) Metastasis of oral cancer to the parotid node. European Journal of Surgical Oncology, 35, 890-894.
http://dx.doi.org/10.1016/j.ejso.2008.09.013

[6]   Olsen, S.M., Moore, E.J., Koch, C.A., Kasperbauer, J.L. and Olsen, K.D. (2011) Oral cavity and oropharynx squamous cell carcinoma with metastasis to the parotid lymph nodes. Oral Oncology, 47, 142-144.
http://dx.doi.org/10.1016/j.oraloncology.2010.11.010

[7]   Liao, C.T., Lin, C.Y., Fan, K.H., Hsueh, C., Lee, L.Y., Wang, H.M., Huang, S.F., Chen, I.H., Kang, C.J., Ng, S.H., Lin, C.H., Huang, Y.C. and Yen, T.C. (2013) Outcome analyses of unusual site neck recurrence in oral cavity cancer. Annals of Surgical Oncology, 20, 257-266.
http://dx.doi.org/10.1245/s10434-012-2580-3

[8]   Pisani, P., Ramponi, A. and Pia, F. (1996) The deep parotid lymph nodes: An anatomical and oncological study. The Journal of Laryngology & Otology, 110, 148-150.
http://dx.doi.org/10.1017/S0022215100133006

[9]   Parsons, J.T., Million, R.R. and Cassisi, N.J. (1985) The influence of excisional or incisional biopsy of metastatic neck nodes on the management of head and neck cancer. International Journal of Radiation Oncology Biology Physics, 11, 1447-1454.
http://dx.doi.org/10.1016/0360-3016(85)90331-1

 
 
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