Incidental pathologies found in neck dissection: an unusual case report

Year 2009, Volume: 19 Issue: 3, 167 - 170, 08.06.2009

İclal Gürses Murat Ünal Tuba Karabacak

Abstract

During the pathologic examination of neck dissection specimens, unexpected findings within lymph nodes may occasionally be uncovered. Such findings may include the presence of a second primary tumor or inflammatory disease, the discovery of which may have implications on management and prognosis. Incidental papillary thyroid carcinoma and necrotizing granulomatous inflammation were found in addition to squamous cell carcinoma metastasis in the pathological study of the neck dissection specimen in a 70-year-old male patient with laryngeal squamous cell carcinoma. The diagnostic, therapeutic and prognostic features of this rare association were discussed in the light of the current literature.

Keywords

Granulomatous inflammation, lymph node, neck dissections, papillary carcinoma, primary tumor

Boyun diseksiyonunda bulunan tesadüfi patolojiler: Nadir bir olgu sunumu

Abstract

Boyun diseksiyonu örneklerinin patolojik incele- mesinde lenf nodlarında beklenmedik bulgular nadiren ortaya çıkabilir. Bu bulgular ikinci bir pri- mer tümör varlığı veya enflamatuvar hastalıklar şeklinde olabilir; bunların saptanması hastaya yaklaşım ve prognozu etkileyebilir. Yetmiş yaşın- da, larenks skuamöz hücreli karsinomlu erkek hastada, boyun diseksiyonu örneğinin patolojik değerlendirmesinde skuamöz hücreli karsinom yayılımına ek olarak lenf nodlarında tesadüfen tiroid papiller karsinomu ve nekrotizan granülo- matöz iltihap bulundu. Bu nadir birlikteliğin tanısı, tedavisi ve prognozu güncel literatür bilgileri ışı- ğında tartışıldı

Keywords

Granülomatöz iltihap, lenf nodu, boyun diseksiyonu, papiller karsinom, primer tümör

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