Unknown Primary Origin Metastatic Spindle Cell Carcinoma : A Case Report

원인불명의 경부전이성 방추형 세포암 1례

  • Koh Joong-Wha (Department of Otolaryngology, Ajou University School of Medicine) ;
  • Kim Byung-Chul (Department of Otolaryngology, Ajou University School of Medicine) ;
  • Kim Seung-Kyun (Department of Otolaryngology, Ajou University School of Medicine)
  • 고중화 (아주대학교 의과대학 이비인후과학교실) ;
  • 김병철 (아주대학교 의과대학 이비인후과학교실) ;
  • 김성균 (아주대학교 의과대학 이비인후과학교실)
  • Published : 1999.11.01

Abstract

Spindle cell carcinomas of the head and neck are unusual neoplasms that are histologically biphasic, having both squamous cell carcinoma and apparently malignant spindle cell or sarcomatous element. Controversy about the histogenesis of these tumors has resulted in various terminology ; sarcomatoid carcinoma, pseudosarcoma, carcinosarcoma, and spindle cell carcinoma. The clinical course and natural history of these tumors are also variable. We report a case of 64-year-old male who complained of a neck mass. The patient was treated with extended radical neck dissection and postoperative radiotherapy, but the primary site of spindle cell carcinoma could not be found. We reviewed the clinical course, treatment, prognosis, and histogenesis of spindle cell carcinoma of the head and neck.

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