Abstract
We describe a rare case of cervical lymph-node metastasis from gastric cancer that was detected in a specimen obtained by neck dissection for tongue cancer. The patient was a 63-year-old man presenting with a painful mass of the tongue. The clinical diagnosis was tongue cancer (T2N1M0). He had a medical history of stage IB gastric cancer and had received distal gastrectomy with D2 dissection 3.5 years previously. Functional neck dissection, hemiglossectomy, and reconstruction using a forearm flap were performed under general anesthesia. Some small, elastic hard lymph nodes were observed at levels IV and V. The postsurgical course was uneventful. Pathological examination of the specimen obtained by neck dissection revealed metastasis from squamous cell carcinoma (SCC) at level II and adenocarcinoma (AC) at levels IV and V. The AC was diagnosed as metastasis from gastric cancer. Although the patient received systemic chemotherapy with S-1, paclitaxel, irinotecan, and 5-FU with levofolinate, peritoneal dissemination and multiple bone metastases spread, and the patient died 1 year 5 months after surgery.
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callMore From: Japanese Journal of Oral and Maxillofacial Surgery
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
