An extremely rare case of large Delphian node metastasis preceding primary laryngeal cancer.
OBJECTIVE
To present an extremely rare case of large Delphian node metastasis preceding primary laryngeal cancer.


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.


CONCLUSIONS
Delphian node metastasis is included in the differential diagnosis in a case of rapidly increasing mass in the anterior neck.
Murono
Shigeyuki
S
Department of Otolaryngology, Head and Neck Surgery, Kanazawa University, Takaramachi, Japan. murono@med.kanazawa-u.ac.jp
Hirota
Kyoko
K
Kondo
Satoru
S
Wakisaka
Naohiro
N
Furukawa
Mitsuru
M
Yoshizaki
Tomokazu
T
D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000473:pathology / Q000556:secondary* / Q000601:surgery; D005336:Fiber Optic Technology; D006258:Head and Neck Neoplasms / Q000556:secondary* / Q000601:surgery; D006801:Humans; D007822:Laryngeal Neoplasms / Q000473:pathology* / Q000601:surgery; D007825:Laryngectomy; D007828:Laryngoscopy; D008198:Lymph Nodes / Q000601:surgery; D008207:Lymphatic Metastasis; D008297:Male; D009361:Neoplasm Invasiveness; D018714:Radiotherapy, Adjuvant; D035583:Rare Diseases; D012086:Reoperation