A case of Primary Hard Palate Adenocarcinoma Metastasizing to Cervical Lymph Nodes 9 Years after Resection of Primary Lesion

원발병소의 외과적 절제 9년 후 경부 림프절에 전이된 경구개 선암종 1예

  • Lee Hyung-Seok (Department of Otolaryngology-Head and Neck Surgery, School of Medicine, Hanyang University) ;
  • Jeon Sung-Ha (Department of Otolaryngology-Head and Neck Surgery, School of Medicine, Hanyang University) ;
  • Hong Dong-Kyun (Department of Otolaryngology-Head and Neck Surgery, School of Medicine, Hanyang University) ;
  • Cho Seok-Hyun (Department of Otolaryngology-Head and Neck Surgery, School of Medicine, Hanyang University) ;
  • Tae Kyung (Department of Otolaryngology-Head and Neck Surgery, School of Medicine, Hanyang University)
  • 이형석 (한양대학교 의과대학 이비인후-두경부외과학교실) ;
  • 전성하 (한양대학교 의과대학 이비인후-두경부외과학교실) ;
  • 홍동균 (한양대학교 의과대학 이비인후-두경부외과학교실) ;
  • 조석현 (한양대학교 의과대학 이비인후-두경부외과학교실) ;
  • 태경 (한양대학교 의과대학 이비인후-두경부외과학교실)
  • Published : 2004.05.01

Abstract

Primary malignancies of hard palate are rare, espicially adenocarcinoma of minor salivary gland in hard palate. The clinical stage of the tumor and its histologic grade at the time of treatment were significant predictors of survival. A 33-year-old woman was diagnosed with stage II, polymorphous low-grade adenocarcinoma of the hard palate and treated with surgery. We thougt that she would have excellent prognosis. After that, there was no definite evidence of recurrence during 3 months. Since then, the patient herself decided to discontunue follow-up. 9 years after that she came to the hospital due to both submandibular mass without any sign of local recurrence. CT scan and biopsy of the mass revealed multiple cervical metastatic adenocarcinoma without distant metastasis and the histologic findings were similar to that of the primary hard palate adenocarcinoma. So, we present this case with the review of literature.

Keywords

References

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