Two Cases of Metastatic Cancer Presenting as A Cervical Cyst

경부 낭종의 형태로 발현한 전이암 2례

  • Son Young-Ik (Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, SungKyunKwan University, Samsung Medical Center) ;
  • Baek Chung-Hwan (Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, SungKyunKwan University, Samsung Medical Center) ;
  • Ha Byung-Suk (Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, SungKyunKwan University, Samsung Medical Center) ;
  • Chang Byung-Chan (Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, SungKyunKwan University, Samsung Medical Center)
  • 손영익 (성균관대학교 의과대학 이비인후과학교실, 삼성서울병원) ;
  • 백정환 (성균관대학교 의과대학 이비인후과학교실, 삼성서울병원) ;
  • 하병석 (성균관대학교 의과대학 이비인후과학교실, 삼성서울병원) ;
  • 장병찬 (성균관대학교 의과대학 이비인후과학교실, 삼성서울병원)
  • Published : 1997.11.01

Abstract

Metastatic cancer presenting as a cervical cyst is uncommon, and often misdiagnosed as branchial cleft cyst. Authors experienced two cases which presented clinically with features of branchial cleft cyst, but were subsequently found to be metastatic cancer. Radiologic examination and fine needle aspiration biopsy proved to be non-diagnostic, and pathologic findings after surgical excision showed metastatic cancer. Further evaluation and examination were made to find out the primary focus, which revealed tonsillar squamous cell cancer and thyroid papillary cancer in each case. When cervical cysts are noted in aged patients, it is mandatory to rule out metastatic cancer until it is proven otherwise. Surgical excision and pathologic diagnosis should be always accompanied to make correct diagnosis and further treatment.

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