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An extremely rare case of large Delphian node metastasis preceding primary laryngeal cancer
Shigeyuki Murono1, Kyoko Hirota, Satoru Kondo
1Department of Otolaryngology, Head and Neck Surgery, Kanazawa University, Takaramachi, Japan. murono@med.kanazawa-u.ac.jp
Objectives:
To present an extremely rare case of large Delphian node metastasis preceding primary laryngeal cancer.
Materials And Methods:
A 74-year-old male who noted a mass on the lower anterior neck and consulted our department immediately. The mass rapidly grew to 6cm from 2cm in diameter within 2 months after the initial presentation.
Results:
Fiberoptic laryngoscopy was unremarkable. Surgical excision of the lesion showed well differentiated squamous cell carcinoma with invasion into the surrounding tissues. Postoperative radiotherapy was added. During follow-up after those treatments, thickening of the right vocal cord was observed, which gradually became more apparent. Total laryngectomy was performed 13 months after the initial operation.
Conclusion:
Delphian node metastasis is included in the differential diagnosis in a case of rapidly increasing mass in the anterior neck.
