Abstract
A report is presented on a rare case of primary branchiogenic carcinoma proposed by Martin H in 1950.Case ReportA 73-year-old male with a nodular swelling in the right middle neck was referred on September 28, 1988. The swelling was 4cm in diameter and could be palpated at the anterior margin of right sternocleidomastoid muscle. No findings of malignant tumor could be observed in the head and neck region. Incision biopsy was performed and a diagnosis was no malignancy. Cytology led to the pathohistological diagnosis of squamous cell carcinoma. The cervical nodular swelling was clinically diagnosed tentatively as branchiogenic carcinoma. As the tumor increased in size to 6cm in diameter, preoperative radiotherapy of 60Co of 40 Gy was commenced together with hyperthermotherapy.The skin of the neck 2cm from the radiant ulcer was extensively resected and right radical neck dissection was performed. The right deltopectoral flap was elevated and the skin defect was repaired. Local recurrence and distant metastasis could not be detected and the primary lesion continued to be unknown, and the course was satisfactory. However, after a lapse of 5 years and 3 weeks following diagnosis, the patient expired due to myocardial infarction.
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