반대측 경부 림프절로 전이된 초기 설암의 치험례

권명희; 김성일; 김평수; 임대호; 신효근; 고승오

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반대측 경부 림프절로 전이된 초기 설암의 치험례
CONTRALATERAL NECK LYMPH NODE METASTASIS OF EARLY TONGUE CANCER : A CASE REPORT

대한구강악안면외과학회지 2009년 35권 5호 p.376 ~ 379

권명희, 김성일, 김평수, 임대호, 신효근, 고승오,

소속 상세정보

권명희 ( Kwon Myung-Hee ) - 전북대학교 치의학전문대학원 구강안악면외과학교실
김성일 ( Kim Sung-Il ) - 전북대학교 치의학전문대학원 구강안악면외과학교실
김평수 ( Kim Pyoung-Soo ) - 전북대학교 치의학전문대학원 구강안악면외과학교실
임대호 ( Leem Dae-Ho ) - 전북대학교 치의학전문대학원 구강안악면외과학교실
신효근 ( Shin Hyo-Keun ) - 전북대학교 치의학전문대학원 구강안악면외과학교실
고승오 ( Ko Seung-O ) - 전북대학교 치의학전문대학원 구강안악면외과학교실

KMID : 0355620090350050376

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 T2N0M0, 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 T2-stage of SCC of the tongue treated by surgical resection.