A Case of Neck Soft Tissue Infection in Patient with Nasopharyngeal Cancer; Misdiagnosed as Local Progression during External Radiotherapy

비인두암 환자에서 방사선 치료중 암의 국소진행으로 오인된 경부 연조직 감염 1례

  • Lee So-Yeon (Departments of Internal Medicine, St. Vincent's Hospital, The Cathollic University of Medical College) ;
  • Im So-Hi (Departments of Internal Medicine, St. Vincent's Hospital, The Cathollic University of Medical College) ;
  • Choi Hyun-Cheul (Departments of Internal Medicine, St. Vincent's Hospital, The Cathollic University of Medical College) ;
  • Kim Sung-Hwan (Departments of Radiation Oncology, St. Vincent's Hospital, The Cathollic University of Medical College) ;
  • Jun Jung-Soo (Departments of Diagnostic Radiology, St. Vincent's Hospital, The Cathollic University of Medical College) ;
  • Back Joon-Hyun (Departments of Diagnostic Radiology, St. Vincent's Hospital, The Cathollic University of Medical College) ;
  • Yoo Jin-Young (Departments of Clinical Pathology, St. Vincent's Hospital, The Cathollic University of Medical College) ;
  • Noh He-Il (Departments of Otorhinolaryngology, St. Vincent's Hospital, The Cathollic University of Medical College) ;
  • Kim Hoon-Kyo (Departments of Internal Medicine, St. Vincent's Hospital, The Cathollic University of Medical College)
  • 이소연 (가톨릭대학교 의과대학 성빈센트병원 내과학교실) ;
  • 임소희 (가톨릭대학교 의과대학 성빈센트병원 내과학교실) ;
  • 최현철 (가톨릭대학교 의과대학 성빈센트병원 내과학교실) ;
  • 김성환 (가톨릭대학교 의과대학 성빈센트병원 방사선종양학과학교실) ;
  • 전정수 (가톨릭대학교 의과대학 성빈센트병원 진단방사선과학교실) ;
  • 백준현 (가톨릭대학교 의과대학 성빈센트병원 진단방사선과학교실) ;
  • 유진영 (가톨릭대학교 의과대학 성빈센트병원 임상병리과학교실) ;
  • 노혜일 (가톨릭대학교 의과대학 성빈센트병원 이비인후과학교실) ;
  • 김훈교 (가톨릭대학교 의과대학 성빈센트병원 내과학교실)
  • Published : 2002.11.01

Abstract

A 38-year-old man, who was diagnosed nasopharyngeal carcinoma (stage T4N2Mx) had rapidly growing lower neck mass (at level IV area) with local inflammation sign during concurrent chemoradiotherapy. After we performed Color Doppler sonography and fine needle aspiration biopsy of the neck mass, we differentiated neck soft tissue infection from tumor extension. Size of the mass decreased after antibiotics therapy. It was difficult to differentiate neck infection from tumor progression during treatment in naspharyngeal carcinoma.

Keywords

References

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