대한두경부종양학회지 (Korean Journal of Head & Neck Oncology)

  • 제29권2호
  • /
  • Pages.71-74
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  • 2013
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  • 1229-5183(pISSN)
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  • 2586-2553(eISSN)
대한두경부종양학회 (The Korean Society for Head and Neck Oncology)
권호 표지

원발미상암으로 오인된 이하선 림프상피암종

Lymphoepithelial Carcinoma of the Parotid Gland, Mimicking Malignancy of Unknown Origin(MUO) in the Head and Neck

  • 박준오 (성균관대학교 의과대학 삼성서울병원 이비인후과학교실) ;
  • 장전엽 (성균관대학교 의과대학 삼성서울병원 이비인후과학교실) ;
  • 고영혜 (성균관대학교 의과대학 삼성서울병원 병리과학교실) ;
  • 정한신 (성균관대학교 의과대학 삼성서울병원 이비인후과학교실)
  • Park, Jun Oh (Department of Otorhinolaryngology-Head and Neck Surgery, Sungkyunkwan University School of Medicine, Samsung Medical Center) ;
  • Jang, Jeon Yeob (Department of Otorhinolaryngology-Head and Neck Surgery, Sungkyunkwan University School of Medicine, Samsung Medical Center) ;
  • Ko, Young-Hyeh (Department of Pathology, Sungkyunkwan University School of Medicine, Samsung Medical Center) ;
  • Jeong, Han-Sin (Department of Otorhinolaryngology-Head and Neck Surgery, Sungkyunkwan University School of Medicine, Samsung Medical Center)
  • 투고 : 2013.09.02
  • 심사 : 2013.09.27
  • 발행 : 2013.11.30
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초록

Neck mass is a common manifestation from head and neck malignancy, most of which come from mucosal squamous cell carcinomas in the upper aero-digestive tract. However, once aspiration cytology suggests atypical malignant cells in the neck mass rather than metastatic squamous cell carcinomas, it is confusing to decide the adequate diagnostic work-ups and treatment planning. Here, we report a 29-year-old woman presenting with a growing neck mass mimicking malignancy of unknown origin, which was finally diagnosed as primary lymphoepithelial carcinoma in the parotid gland with multiple metastases to the lymph nodes. The patient underwent comprehensive neck dissection and total parotidectomy and the adjuvant radiation treatment was given. Our report highlight that the primary salivary gland cancer should be considered as the potential tumor origin in case of malignancy of unknown origin in the head and neck region and neck mass suggestive of atypical carcinomas.

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참고문헌

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