Korean Journal of Head & Neck Oncology (대한두경부종양학회지)

The Korean Society for Head and Neck Oncology (대한두경부종양학회)
권호 표지

A Case of Unknown-Primary Small Cell Carcinoma of the Neck

경부에 발생한 원발불명의 소세포암 1례

  • Lee So-Young (Departments of Internal Medicine, The Catholic University of Korea) ;
  • Kim Young-Chul (Departments of Internal Medicine, The Catholic University of Korea) ;
  • Hong Chang-Kyoun (Departments of Internal Medicine, The Catholic University of Korea) ;
  • Kim Jung-A (Departments of Internal Medicine, The Catholic University of Korea) ;
  • Kim Sung-Whan (Departments of Radiation Oncology, The Catholic University of Korea) ;
  • You Jin-Young (Departments of Clinical Pathology, The Catholic University of Korea) ;
  • Noh He-Il (Departments of Otolaryngology, The Catholic University of Korea) ;
  • Kim Hoon-Kyo (Departments of Internal Medicine, The Catholic University of Korea)
  • 이소영 (가톨릭대학교 의과대학 성빈센트병원 내과학교실) ;
  • 김영철 (가톨릭대학교 의과대학 성빈센트병원 내과학교실) ;
  • 홍창균 (가톨릭대학교 의과대학 성빈센트병원 내과학교실) ;
  • 김정아 (가톨릭대학교 의과대학 성빈센트병원 내과학교실) ;
  • 김성환 (가톨릭대학교 의과대학 성빈센트병원 방사선종양학교실) ;
  • 유진영 (가톨릭대학교 의과대학 성빈센트병원 임상병리과학교실) ;
  • 노혜일 (가톨릭대학교 의과대학 성빈센트병원 이비인후과학교실) ;
  • 김훈교 (가톨릭대학교 의과대학 성빈센트병원 내과학교실)
  • Published : 2000.11.01
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Abstract

Small cell carcinoma usually occurs in lung, but extrapulmonary small cell carcinomas can occur in any sites of body. Most sites of extrapulmonary small cell carcinoma reported were esophagus. And small cell carcinomas occurred in head and neck area were reported rarely. Extrapulmonary small cell carcinoma could be diagnosed when there is no evidence of primary lung lesion on chest X-ray, CT scan of chest and bronchoscopy. The authors experienced a case of small cell carcinoma of left submandibular lymph node in 64-year-old male patient. Biopsy specimen showed poorly differentiated carcinoma but immunohistochemical study showed small cell carcinoma. The chest X-ray and CT scan of chest showed no evidence of primary lung lesion. The patient received chemotherapy(etoposide plus cisplatin) and concurrent chemoradiotherapy using weekly taxol which resulted in good clinical remission. He is still alive 8 months after diagnosis without evidence of lung disease. We report our case with a brief review of literatures.

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