Korean J Otorhinolaryngol-Head Neck Surg.  2018 Dec;61(12):702-704. 10.3342/kjorl-hns.2017.00409.

A Case of Soft Tissue Metastasis in Contralateral Submandibular Space by Regional Recurrence of Lower Lip Cancer

Affiliations
  • 1Department of Otolaryngology-Head and Neck Surgery, Veterans Health Service Medical Center, Seoul, Korea. entzzang1020@hanmail.net
  • 2Department of Pathology, Veterans Health Service Medical Center, Seoul, Korea.

Abstract

The most common cause of treatment failure in oral cavity cancer is when it is found to have local recurrence, usually occurring in the ipsilateral cervical lymph node. On the contrary, it is extremely rare to find local recurrence in soft tissue metastasis (STM) in the contralateral neck. Furthermore, lung cancer and malignant lymphoma are most commonly confined to their primary sites. The poor general condition increases the likelihood of STM, which indicates bad prognosis. A 72-year-old man with a hard and fixed mass on the right submandibular space visited our clinic. He had received a wide excision with local flapreconstruction for squamous cell carcinoma in the left corner of lower lip 18 months ago. We performed the wide excision with bilateral selective neck dissection (I-III), and he was finally diagnosed as STM from contralateral lip cancer. We report this unique and rare disease entity with a literature review.

Keyword

Contralateral neck; Neoplasm recurrence, local; Soft tissue neoplasm

MeSH Terms

Aged
Carcinoma, Squamous Cell
Humans
Lip Neoplasms*
Lip*
Lung Neoplasms
Lymph Nodes
Lymphoma
Mouth
Neck
Neck Dissection
Neoplasm Metastasis*
Neoplasm Recurrence, Local
Prognosis
Rare Diseases
Recurrence*
Soft Tissue Neoplasms
Treatment Failure
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