DOI QR코드

DOI QR Code

Neck metastasis of invasive ductal carcinoma of breast causing voice change: a case report

음성변화를 주증상으로 내원한 유방암의 경부연조직 전이환자 1례

  • Lee, Hyung Min (Department of Otolaryngology-Head and Neck surgery, Kangnam Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Park, Ji hoon (Department of Otolaryngology-Head and Neck surgery, Kangnam Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Kim, Jin Hwan (Department of Otolaryngology-Head and Neck surgery, Kangnam Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Kim, Jung Won (Department of Pathology, Kangnam Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Lee, Dong Jin (Department of Otolaryngology-Head and Neck surgery, Kangnam Sacred Heart Hospital, Hallym University College of Medicine)
  • 이형민 (한림대학교 강남성심병원 이비인후과학교실) ;
  • 박지훈 (한림대학교 강남성심병원 이비인후과학교실) ;
  • 김진환 (한림대학교 강남성심병원 이비인후과학교실) ;
  • 김정원 (한림대학교 강남성심병원 병리학교실) ;
  • 이동진 (한림대학교 강남성심병원 이비인후과학교실)
  • Received : 2017.09.19
  • Accepted : 2017.10.15
  • Published : 2017.11.30

Abstract

We present a metastatic carcinoma from the breast to the neck soft tissue around common carotid artery, with a rare finding of voice change. A 60 year-old female patient presented with voice change for 7 months. Neck ultrasound revealed a soft tissue mass between internal jugular vein and common carotid artery. Result of fine needle aspiration biopsy was a metastatic carcinoma. Computed tomography and magnetic resonance image revealed $2.5{\times}3.0cm$ sized irregular marginated soft tissue mass in right lower neck encasing common carotid artery and internal jugular vein. Surgical resection was performed and pathologic result with immunohistochemical analysis confirmed the diagnosis of a metastatic invasive ductal carcinoma originated from breast.

Keywords

References

  1. Ferlay J, Shin HR, Bray F, Forman D, Mathers C, Parkin DM. Estimates of worldwide burden of cancer in 2008: GLOBOCAN 2008. Int J Cancer. 2010;127:2893-2917. https://doi.org/10.1002/ijc.25516
  2. Cheng YC, Ueno NT. Improvement of survival and prospect of cure in patients with metastatic breast cancer. Breast Cancer. 2012;19:191-199. https://doi.org/10.1007/s12282-011-0276-3
  3. Hirshberg A, Leibovich P, Buchner A. Metastases to the oral mucosa: analysis of 157 cases. J Oral Pathol Med. 1993;22:385-390. https://doi.org/10.1111/j.1600-0714.1993.tb00128.x
  4. Baden E, Duvillard P, Micheau C. Metastatic papillary endometrial carcinoma of the tongue. Case report and review of the literature. Arch Pathol Lab Med. 1992;116:965-968.
  5. Sesterhenn AM, Albert US, Barth PJ, Wagner U, Werner JA. The status of neck node metastases in breast cancer--loco-regional or distant? Breast. 2006;15:181-186. https://doi.org/10.1016/j.breast.2005.05.006
  6. Mamby CC, Love RR, Heaney E. Metastatic breast cancer 39 years after primary treatment. Wis Med J. 1993;92:567-569.
  7. Dal Lago D, Villa G, Miguoli R, Annoni G, Vergani C. An unusual case of breast cancer relapse after 30 years of disease-free survival. Age Ageing. 1998;27:649-650. https://doi.org/10.1093/ageing/27.5.649
  8. Goss PE, Chambers AF. Does tumour dormancy offer a therapeutic target? Nat Rev Cancer. 2010;10:871-877. https://doi.org/10.1038/nrc2933