Cervical lymph node enlargement on the right side as the initial manifestation of metastatic prostate cancer.
OBJECTIVE
Cervical lymph node enlargement (LAP) due to metastatic spread is an uncommon manifestation of prostatic adenocarcinoma. In case of non-regional lymphatic spread, left supraclavicular region was found to be the most common site (1,2,3) whereas right sided metastatic lymph node involvement has been extremely uncommon.


METHODS
We here in describe a case of a 75 year-old man who had an enlarged cervical lymph node for a year which subsequently proved to be involved by metastatic adenocarcinoma of the prostate.


CONCLUSIONS
Although, prostate cancer rarely metastasize to the cervical lymph node chain it should always be considered in the differential diagnosis of metastatic lymph node enlargement in the cervical area of elderly men.
Marmara University School of Medicine, Department of Urology, Turkey.
Abdurrahman
A
Ozgür
Yalçin
Y
Ilker
Levent N
LN
Türkeri
D000230:Adenocarcinoma / Q000556:secondary*; D000368:Aged; D006801:Humans; D008207:Lymphatic Metastasis; D008297:Male; D009333:Neck; D011471:Prostatic Neoplasms / Q000473:pathology*