Korean Journal of Otorhinolaryngology-Head and Neck Surgery

Korean Society of Otolaryngology-Head and Neck Surgery (대한이비인후과학회)
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A Case of Soft Tissue Metastasis in Contralateral Submandibular Space by Regional Recurrence of Lower Lip Cancer

하구순암의 구역 재발로 반대편 악하 공간에 발생한 연조직 전이 1예

  • Hong, Seok Jung (Department of Otolaryngology-Head and Neck Surgery, Veterans Health Service Medical Center) ;
  • Lim, Sung Hwan (Department of Otolaryngology-Head and Neck Surgery, Veterans Health Service Medical Center) ;
  • Kim, Eun Ju (Department of Pathology, Veterans Health Service Medical Center) ;
  • Kim, Seung Woo (Department of Otolaryngology-Head and Neck Surgery, Veterans Health Service Medical Center)
  • 홍석정 (중앙보훈병원 이비인후과) ;
  • 임성환 (중앙보훈병원 이비인후과) ;
  • 김은주 (중앙보훈병원 병리과) ;
  • 김승우 (중앙보훈병원 이비인후과)
  • Received : 2017.04.26
  • Accepted : 2017.06.26
  • Published : 2018.12.25
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Abstract

The most common cause of treatment failure in oral cavity cancer is when it is found to have local recurrence, usually occurring in the ipsilateral cervical lymph node. On the contrary, it is extremely rare to find local recurrence in soft tissue metastasis (STM) in the contralateral neck. Furthermore, lung cancer and malignant lymphoma are most commonly confined to their primary sites. The poor general condition increases the likelihood of STM, which indicates bad prognosis. A 72-year-old man with a hard and fixed mass on the right submandibular space visited our clinic. He had received a wide excision with local flapreconstruction for squamous cell carcinoma in the left corner of lower lip 18 months ago. We performed the wide excision with bilateral selective neck dissection (I-III), and he was finally diagnosed as STM from contralateral lip cancer. We report this unique and rare disease entity with a literature review.

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References

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