Larinks skuamöz hücreli karsinomunun kistik servikal metastazı (Olgu sunumu)

Öz

Purpose: Cystic cervical metastasis of squamous cell carcinoma (SCC) in the neck is a rare condition. The primary site of the cystic cervical metastases is Kistik servikal metastazların primer yeri sıklıkla tonsiller commonly tonsillar area. This condition may also be bölgedir. Bu durum larenksin SHK’sından dolayı da seen due to SCC of the larynx. In this paper, the cystic cervical metastases of the SCC of larynx, which sound interesting to us, have been presented since they rarely occur. Case report: A mass of 13 cm in diameter was found out in the right cervical region on the examination of the patient who underwent total laryngectomy and left radical neck dissection four months ago due to SCC of larynx. Cystic masses including enhanced elements were observed on the magnetic resonance imaging (MRI). By performing an ulltrasound-guided fine-needle aspiration biopsy on the wall of cystic masses, the SCC metastasis was diagnosed. Conclusion: The cytological diagnosis of the cystic SCC metastases may be done with ultrasound-guided fineneedle aspiration biopsy performed on the wall of the cystic cervical masses observed on MRI of the operated SCC of larynx

Anahtar Kelimeler

• Cystic cervical metastasis, squamous cell carcinoma, laryngeal cancer, fine-needle aspiration biyopsisi, manyetik rezonans görüntüleme biopsy, magnetic resonance imaging

Cystic cervical metastasis of squamous cell carcinoma of the larynx (A case report)

Öz

Amaç: Boyunda skuamöz hücreli karsinomun (SHK) kistik servikal metastazları az karşılaşılan bir durumdur

Anahtar Kelimeler

• Kistik servikal metastaz, skuamöz hücreli karsinom, larenks kanseri, ince iğne aspirasyon

Kaynakça

1. Tomik J, Skladzien J, Modrzejewski M. Evaluation of cervical lymph node metastasis of 1400 patients with cancer of the larynx. Auris Nasus Larynx 2001; 28(3): 233-40.
2. Carrick DG, Jones WI, El Sharkawi A.. Branchiogenic carcinoma-or cystic lymph node metastasis. J Laryngol Otol 1986; 100(9): 1089-90.
3. Foss RD, Warnock GR, Clark WB, Graham SJ et al. Malignant cyst of the lateral aspect of the neck: branchial
4. cleft carcinoma or metastasis. Oral Surg Oral Med Oral Pathol 1991; 71(2): 214-7.
5. Carroll WR, Zappia JJ, McClatchey KD. Branchiogenic carcinoma. J Otolaryngol 1993; 22(1): 26-8.
6. Hall SF, Dexter DF. Cystic cervical metastases are not branchiogenic carcinomas. J Otolaryngol 1993; 22(3): 184-9.
7. Briggs RD, Pou AM, Schnadig VJ. Cystic metastasis versus branchial cleft carcinoma: a diagnostic challenge. Laryngo- scope 2002; 112(6): 1010-4.
8. Zimmermann CE, von Domarus H, Moubayed P. Carcinoma in situ in a lateral cervical cyst. Head Neck 2002; 24(10): 965-9.

9. Micheau C, Klijanienko J, Luboinski B, Richard J. So-called
10. Thompson LD, Heffner DK. The clinical importance of cystic squamous cell carcinomas in the neck: a study of 136 cases. Cancer 1998; 82(5): 944-56.
11. Burgess KL, Hartwick RW, Bedard YC. Metastatic squamous carcinoma presenting as a neck cyst. Differantial diagnosis from inflamed branchial cleft cyst in fine needle aspirates Acta Cytol 1993; 37(4): 494-8.
12. Verma K, Mandal S, Kapila K. Cystic change in lymph nodes with metastatic squamous cell carcinoma. Acta Cytol 1995; 39(3): 478-80.
13. Nakagawa T, Takashima T, Tomiyama K. Differential diagnosis of a lateral cervical cyst and solitary cystic lymph node metastasis of occult thyroid papillary carcinoma. J Laryngol Otol 2001; 115(3): 240-2.
14. Flanagan PM, Roland NJ, Jones AS. Cervical node metastases presenting with features of branchial cysts. J Laryngol Otol 1994; 108(12): 1068-71. branchiogenic carcinoma is actually cystic metastases in the neck from a tonsillar primary. Laryngoscope 1990; 100(8): 878-83.
15. Gourin CG, Johnson JT. Incidence of unsuspected metastases in lateral cervical cysts. Laryngoscope 2000; 110(10 Pt 1): 1637-41.
16. Haber RS. Role of ultrasonography in the diagnosis and management of thyroid cancer. Endocr Pract 2000; 6(5): 396-400.
17. Correspondence address Dr. Bülent AKTAN
18. Atatürk Üniversitesi, Tıp Fakültesi KBB Anabilim Dalı 25240 ERZURUM Tel : [phone] Faks : 442-2361301
19. E-mail : [e-mail]