Vol.102 No.9 contentsPRACTICA OTO-RHINO-LARYNGOLOGICA
Vol. 102 No. 9 September 2009
Cervical Metastasis of Uterine Cervical Cancer: A Case Report
Mitsuyoshi Imaizumi, Satoshi Saijou, Teruhisa Suzuki and Kazunori Satou
(Ohta Nishinouchi Hospital)
Sou Satou and Koichi Omori
(Fukushima Medical University, School of Medicine)
Carcinoma with an unknown primary site accounts for 1-5％ of all head and neck carcinomas. Herein, we report a case of a 76-year-old female who presented with left cervical swelling. Lymph node biopsy was performed in her left neck, yielding a pathological diagnosis of "cervical metastasis of a poorly differentiated squamous cell carcinoma".
This patient underwent various examinations, including positron emission tomography (PET), but no primary site was found. We eventually diagnosed her with primary unknown carcinoma. Radical neck dissection was performed, followed by a total of 50 Gy of postoperative whole neck radiotherapy. After the completion of treatment for the cervical metastasis, we diagnosed her with uterine cervical cancer based on lymph node swelling in the area of the iliac artery and aorta. Chemoradiotherapy was performed in the Department of Obstetrics and Gynecology of our hospital. The tumor size was reduced, and the patient has survived for 12 months to date.
If various images including PET show lymph node swelling in the retroperitoneum, the possibility of a gynecological disease should be considered.
Key words :cervical metastasis, uterine cervical cancer, primary unknown carcinoma