Korean Journal of Head & Neck Oncology (대한두경부종양학회지)

The Korean Society for Head and Neck Oncology (대한두경부종양학회)
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A Case Report of Patient with Left Neck Mass and a History of Thyroid and Ovarian Cancer in Head and Neck

갑상선암 및 난소암 병력을 가진 좌측 경부 종물을 주소로 내원한 환자 1례에 대한 증례 보고

  • Jeong, Yong Jun (Department of Otolaryngology-Head and Neck Surgery, Korea University College of Medicine, Ansan hospital) ;
  • Oh, Kyoung Ho (Department of Otolaryngology-Head and Neck Surgery, Korea University College of Medicine, Ansan hospital) ;
  • Kwon, Soon Young (Department of Otolaryngology-Head and Neck Surgery, Korea University College of Medicine, Ansan hospital)
  • 정용준 (고려대학교 안산병원 이비인후-두경부외과학 교실) ;
  • 오경호 (고려대학교 안산병원 이비인후-두경부외과학 교실) ;
  • 권순영 (고려대학교 안산병원 이비인후-두경부외과학 교실)
  • Received : 2020.10.28
  • Accepted : 2020.11.11
  • Published : 2020.11.30
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Abstract

Ovarian cancer is common malignant disease with high mortality in the female. However, lymph node metastasis in the head and neck of ovarian cancer is very rare than in para-aortic, pelvic lymph node. A 49-year-old female patient came to our clinic with a left neck mass. After total thyroidectomy and left selective neck dissection for the cervical neck level II, III, IV, V, VI for ovarian cancer and thyroid cancer, she had already undergone chemotherapy (Paclitaxel+Carboplatin) 18 month ago. CT scan showed only lymph node enlargement in left neck level II. Positron emission tomography-computed tomography (PET-CT) revealed a hypermetabolic lesion in same area but no other hypermetabolic lesion, especially in the pelvic and abdominal cavity. Fine needle aspiration cytology revealed metastatic carcinoma. The serum level of CA-125 was elevated to 43.8U/mL, whereas other tumor markers (CA 19-9, CEA) were in the normal range. She underwent a revision of selective neck lymph node dissection for the cervical neck levels I, II, and III, and on the review of surgical pathology, metastatic carcinoma was suspected. Thus, we performed immunohistochemical staining for the tissue; as a result, it was finally diagnosed as metastatic ovarian cancer (positive for CK7, ER and PR, and negative for CK20). Adjuvant chemotherapy (Paclitaxel+Carboplatin) was planned on the tumor board, and the patient successfully received chemotherapy.

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References

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