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Acta stomatologica Croatica : International journal of oral sciences and dental medicine, Vol. 53 No. 2, 2019.

Professional paper

https://doi.org/10.15644/asc53/2/9

Aggressive Surgical Resection of Enormous Cervical Metastasis from Nasopharyngeal Carcinoma

Sha Fu ; Department of Pathology, Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University, Guangzhou 510120, China
Jin-song Li ; Department of Oral and Maxillofacial Surgery, Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University, Guangzhou 510120, China; Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation of Sun Yat-Sen Memorial Hospital, Guangz
Eduardo Dias-Ribeiro orcid id orcid.org/0000-0002-6321-4159 ; Department of Dentistry, Federal University of Campina Grande, Patos 58708110, Brazil
Julliana Cariry Palhano Freire ; Department of Dentistry, Federal University of Campina Grande, Patos 58708110, Brazil
Sheng Sun ; Division of Surgical Oncology, Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts 02114, USA
Song Fan ; Department of Oral and Maxillofacial Surgery, Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University, Guangzhou 510120, China; Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation of Sun Yat-Sen Memorial Hospital, Guangz

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Abstract

While nasopharyngeal carcinoma (NPC) commonly presents lymphoid metastases, the enormous cervical metastasis causing dysphagia and limitation of neck motion is not a familiar symptom for most of NPC cases. We report a 23-year-old male with undifferentiated carcinoma of the nasopharynx, stage Ⅲ (T3N2M0), who had undergone aggressive surgical resection of bilateral huge cervical mass first followed by concurrent chemo-radiotherapy with cisplatin-based regimens. The postoperative clinical course was uneventful and follow-up, 2 years later, revealed no recurrence of primary lesion and neck metastases. We recommend that aggressive surgical resection may be considered when
NPC patients significantly suffer clinical symptoms from a huge cervical metastasis.

Keywords

Nasopharyngeal Carcinoma; Cervical Metastasis; Resection

Hrčak ID:

220942

URI

https://hrcak.srce.hr/220942

Publication date:

10.6.2019.

Article data in other languages: croatian

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