Vol.99 No.2 contentsPRACTICA OTO-RHINO-LARYNGOLOGICA
Vol. 99 No. 2 February 2006
Lymphocele after Neck Dissection: A Case Report
Soichi Yamaguchi, Kohei Sueno and Shuichiro Yada
(Saitama Red Cross Hospital)
Makoto Tanaka
(Nihon University School of Medicine)
We administered chemotherapy and radiotherapy treatment to a patient diagnosed as having laryngeal cancer. There after, total laryngectomy and left modified neck dissection were performed. The patient complained of swelling of the left cervical region one year and four months postoperatively and underwent follow-up examination. In left supraclavicular fossa, a hard mass measuring 33 mm was palpated. Because SCC rose, we suspected metastatic lymph node enlargement and performed biopsy under local anesthesia for diagnosis. There were no malignant findings on histopathology. Because biopsied area became further enlarged on the fourth postoperative day, we diagnosed chylous stoma. Based on the course, lymphocele had apparently formed after neck dissection and chylous stoma subsequently developed. A case in which Lymphocele forms after neck dissection is extremely rare.
Key words :
lymphocele, neck dissection, chylous stoma