Journal of the Korean Association of Oral and Maxillofacial Surgeons

The Korean Association of Oral and Maxillofacial Surgeons (대한구강악안면외과학회)
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CONTRALATERAL NECK LYMPH NODE METASTASIS OF EARLY TONGUE CANCER : A CASE REPORT

반대측 경부 림프절로 전이된 초기 설암의 치험례

  • Kwon, Myung-Hee (Department of Oral and Maxillofacial Surgery, School of Dentistry and Institute of Oral Bioscience, Brain Korea 21 project, Chonbuk National University) ;
  • Kim, Sung-Il (Department of Oral and Maxillofacial Surgery, School of Dentistry and Institute of Oral Bioscience, Brain Korea 21 project, Chonbuk National University) ;
  • Kim, Pyoung-Soo (Department of Oral and Maxillofacial Surgery, School of Dentistry and Institute of Oral Bioscience, Brain Korea 21 project, Chonbuk National University) ;
  • Leem, Dae-Ho (Department of Oral and Maxillofacial Surgery, School of Dentistry and Institute of Oral Bioscience, Brain Korea 21 project, Chonbuk National University) ;
  • Shin, Hyo-Keun (Department of Oral and Maxillofacial Surgery, School of Dentistry and Institute of Oral Bioscience, Brain Korea 21 project, Chonbuk National University) ;
  • Ko, Seung-O (Department of Oral and Maxillofacial Surgery, School of Dentistry and Institute of Oral Bioscience, Brain Korea 21 project, Chonbuk National University)
  • 권명희 (전북대학교 치의학전문대학원 구강악안면외과학교실, 구강생체과학연구소, BK21 사업) ;
  • 김성일 (전북대학교 치의학전문대학원 구강악안면외과학교실, 구강생체과학연구소, BK21 사업) ;
  • 김평수 (전북대학교 치의학전문대학원 구강악안면외과학교실, 구강생체과학연구소, BK21 사업) ;
  • 임대호 (전북대학교 치의학전문대학원 구강악안면외과학교실, 구강생체과학연구소, BK21 사업) ;
  • 신효근 (전북대학교 치의학전문대학원 구강악안면외과학교실, 구강생체과학연구소, BK21 사업) ;
  • 고승오 (전북대학교 치의학전문대학원 구강악안면외과학교실, 구강생체과학연구소, BK21 사업)
  • Published : 2009.10.30
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Abstract

Likely to be the most common oral cancer, squamous cell carcinoma(SCC) of the tongue accounts for about 20% of all oral and pharyngeal cancers. SCC of the tongue frequently arises in the lateral border, and if it metastasize, it occurs on submandibular gland and neck lymph nodes. Location of the primary lesions and neck lymph node metastasis affect the prognosis and decrease survival rate of patients with carcinoma of the tongue. The authors experienced the patient with contralateral neck lymph node metastasis of SCC of the tongue. The patient came to our department with chief complaint of elevated lesion on left lateral border of the tongue. The mass was diagnosed as $T_2N_0M_0$, Stage II invasive SCC of oral tongue. Computed tomography(CT) & magnetic resonance imaging(MRI) which were taken before the operation showed no significant finding of metastasis. Surgical mass removal and preventive neck dissection on the left side were done. While follow up PET/CT, contralateral neck lymph node metastasis(right side, level II) was detected, and re-operation(Rt. side RND) was done. There are few studies concerning the contralateral neck lymph node metastasis related with SCC of the tongue. The purpose of this report is to introduce the uncommon case of contralateral neck lymph node metastasis occurred in the $T_2$-stage of SCC of the tongue treated by surgical resection.

Keywords

References

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