A Case of Soft Tissue Metastasis in Contralateral Submandibular Space by Regional Recurrence of Lower Lip Cancer.
10.3342/kjorl-hns.2017.00409
- Author:
Seok Jung HONG
1
;
Sung Hwan LIM
;
Eun Ju KIM
;
Seung Woo KIM
Author Information
1. Department of Otolaryngology-Head and Neck Surgery, Veterans Health Service Medical Center, Seoul, Korea. entzzang1020@hanmail.net
- Publication Type:Case Report
- Keywords:
Contralateral neck;
Neoplasm recurrence, local;
Soft tissue neoplasm
- MeSH:
Aged;
Carcinoma, Squamous Cell;
Humans;
Lip Neoplasms*;
Lip*;
Lung Neoplasms;
Lymph Nodes;
Lymphoma;
Mouth;
Neck;
Neck Dissection;
Neoplasm Metastasis*;
Neoplasm Recurrence, Local;
Prognosis;
Rare Diseases;
Recurrence*;
Soft Tissue Neoplasms;
Treatment Failure
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2018;61(12):702-704
- CountryRepublic of Korea
- Language:Korean
-
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.