Abstract
Objective: To report a case of cervical lymph node metastatic cancer in order to improve the understanding of this disease. Methods: To analyze the clinical features, clinical manifestations and risk factors of a case of cervical lymph node metastasis after operation of gingival squamous cell carcinoma. Results: Clinical features: The patient had a long clinical course and was diagnosed as "right cervical lymph node metastatic carcinoma", which was consistent with squamous cell carcinoma combined with morphology and history. Tissue: The tumor cells grew into nests and infiltrated, and the cell atypia was obvious, with keratinized beads and pathological mitosis. Immunohistochemistry: P63 (+), P40 (+), CK5/6 (+), P16 (-), Ki-67 hot spot index 40%. Conclusion: Cervical lymph is the aggregation area of the whole-body lymph; the whole-body lymph fluid can be drained through this. Pathology combined with immunohistochemical examination is the gold standard of diagnosis. The main treatment is surgical resection, combined with radiotherapy if necessary, and close follow-up after surgery.
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