Unusual axillary metastasis of recurrent nasopharyngeal cancer
Identifieur interne : 000046 ( Main/Exploration ); précédent : 000045; suivant : 000047Unusual axillary metastasis of recurrent nasopharyngeal cancer
Auteurs : Deng-Yu Kuo ; Min-Hsiang Chang ; Shan-Ying Wang ; Pei-Ying Hsieh ; Pei-Wei Shueng [Taïwan]Source :
- Medicine [ 0025-7974 ] ; 2017.
Abstract
Nasopharyngeal carcinoma (NPC) has a high propensity of metastasis. The most commonly described sites of distant metastasis are the bones, lungs, and liver, whereas axillary metastasis is seldom reported.
We hereby present the case of a 66-year-old man with NPC, cT2N2M0, at diagnosis. He had completed chemoradiotherapy and been disease-free for 7 years.
After that period, late recurrence in the form of a solitary axillary lymph node metastasis was detected and confirmed by core-needle biopsy.
The lesion was chemoresistant but responded to salvage radiotherapy at a dose of 65 Gy in 21 fractions.
Post-radiotherapy positron emission tomography scan showed no evidence of disease.
We suggested that long-term follow-up of NPC patients is important because a late relapse may occur at an unusual site. Aggressive management of solitary metastasis may achieve good outcome.
Url:
DOI: 10.1097/MD.0000000000006854
PubMed: 28514301
PubMed Central: 5440138
Affiliations:
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Sciences, National Yang-Ming University, Taipei</nlm:aff><wicri:noCountry code="subfield">Taipei</wicri:noCountry></affiliation></author><author><name sortKey="Hsieh, Pei Ying" sort="Hsieh, Pei Ying" uniqKey="Hsieh P" first="Pei-Ying" last="Hsieh">Pei-Ying Hsieh</name><affiliation><nlm:aff id="aff5">Division of Medical Oncology, Far Eastern Memorial Hospital, New Taipei City</nlm:aff><wicri:noCountry code="subfield">New Taipei City</wicri:noCountry></affiliation></author><author><name sortKey="Shueng, Pei Wei" sort="Shueng, Pei Wei" uniqKey="Shueng P" first="Pei-Wei" last="Shueng">Pei-Wei Shueng</name><affiliation><nlm:aff id="aff1">Division of Radiation Oncology</nlm:aff></affiliation><affiliation><nlm:aff id="aff6">Faculty of Medicine, School of Medicine, National Yang-Ming University, Taipei</nlm:aff><wicri:noCountry code="subfield">Taipei</wicri:noCountry></affiliation><affiliation wicri:level="1"><nlm:aff id="aff7">Department of Radiation Oncology, Tri-Service General Hospital, 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id="aff2">Department of Anatomical Pathology</nlm:aff></affiliation></author><author><name sortKey="Wang, Shan Ying" sort="Wang, Shan Ying" uniqKey="Wang S" first="Shan-Ying" last="Wang">Shan-Ying Wang</name><affiliation><nlm:aff id="aff3">Division of Nuclear Medicine, Far Eastern Memorial Hospital, New Taipei City</nlm:aff><wicri:noCountry code="subfield">New Taipei City</wicri:noCountry></affiliation><affiliation><nlm:aff id="aff4">Department of Biomedical Imaging and Radiological Sciences, National Yang-Ming University, Taipei</nlm:aff><wicri:noCountry code="subfield">Taipei</wicri:noCountry></affiliation></author><author><name sortKey="Hsieh, Pei Ying" sort="Hsieh, Pei Ying" uniqKey="Hsieh P" first="Pei-Ying" last="Hsieh">Pei-Ying Hsieh</name><affiliation><nlm:aff id="aff5">Division of Medical Oncology, Far Eastern Memorial Hospital, New Taipei City</nlm:aff><wicri:noCountry code="subfield">New Taipei City</wicri:noCountry></affiliation></author><author><name sortKey="Shueng, Pei Wei" sort="Shueng, Pei Wei" uniqKey="Shueng P" first="Pei-Wei" last="Shueng">Pei-Wei Shueng</name><affiliation><nlm:aff id="aff1">Division of Radiation Oncology</nlm:aff></affiliation><affiliation><nlm:aff id="aff6">Faculty of Medicine, School of Medicine, National Yang-Ming University, Taipei</nlm:aff><wicri:noCountry code="subfield">Taipei</wicri:noCountry></affiliation><affiliation wicri:level="1"><nlm:aff id="aff7">Department of Radiation Oncology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Taïwan</country><wicri:regionArea>Department of Radiation Oncology, Tri-Service General Hospital, National Defense Medical Center, Taipei</wicri:regionArea><wicri:noRegion>Taipei</wicri:noRegion></affiliation></author></analytic><series><title level="j">Medicine</title><idno type="ISSN">0025-7974</idno><idno type="eISSN">1536-5964</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>Abstract</title><sec><title>Rationale:</title><p>Nasopharyngeal carcinoma (NPC) has a high propensity of metastasis. The most commonly described sites of distant metastasis are the bones, lungs, and liver, whereas axillary metastasis is seldom reported.</p></sec><sec><title>Patient concerns:</title><p>We hereby present the case of a 66-year-old man with NPC, cT2N2M0, at diagnosis. He had completed chemoradiotherapy and been disease-free for 7 years.</p></sec><sec><title>Diagnoses:</title><p>After that period, late recurrence in the form of a solitary axillary lymph node metastasis was detected and confirmed by core-needle biopsy.</p></sec><sec><title>Interventions:</title><p>The lesion was chemoresistant but responded to salvage radiotherapy at a dose of 65 Gy in 21 fractions.</p></sec><sec><title>Outcomes:</title><p>Post-radiotherapy positron emission tomography scan showed no evidence of disease.</p></sec><sec><title>Lessons:</title><p>We suggested that long-term follow-up of NPC patients is important because a late relapse may occur at an unusual site. Aggressive management of solitary metastasis may achieve good outcome.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Lok, Bh" uniqKey="Lok B">BH Lok</name></author><author><name sortKey="Setton, J" uniqKey="Setton J">J Setton</name></author><author><name sortKey="Riaz, N" uniqKey="Riaz N">N Riaz</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Koch, Wm" uniqKey="Koch W">WM Koch</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Liang, N" uniqKey="Liang N">N Liang</name></author><author><name sortKey="Xie, J" uniqKey="Xie J">J Xie</name></author><author><name sortKey="Liu, F" uniqKey="Liu F">F Liu</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Que, J" uniqKey="Que J">J Que</name></author><author><name sortKey="Huang, Ct" uniqKey="Huang C">CT Huang</name></author><author><name sortKey="Chuang, Ss" uniqKey="Chuang S">SS Chuang</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Delair, Df" uniqKey="Delair D">DF DeLair</name></author><author><name sortKey="Corben, Ad" uniqKey="Corben A">AD Corben</name></author><author><name sortKey="Catalano, Jp" uniqKey="Catalano J">JP Catalano</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ma, J" uniqKey="Ma J">J Ma</name></author><author><name sortKey="Wen, Zs" uniqKey="Wen Z">ZS Wen</name></author><author><name sortKey="Lin, P" uniqKey="Lin P">P Lin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cao, X" uniqKey="Cao X">X Cao</name></author><author><name sortKey="He, Lr" uniqKey="He L">LR He</name></author><author><name sortKey="Xie, Fy" uniqKey="Xie F">FY Xie</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bensouda, Y" uniqKey="Bensouda Y">Y Bensouda</name></author><author><name sortKey="Kaikani, W" uniqKey="Kaikani W">W Kaikani</name></author><author><name sortKey="Ahbeddou, N" uniqKey="Ahbeddou N">N Ahbeddou</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hsu, Ch" uniqKey="Hsu C">CH Hsu</name></author><author><name sortKey="Chen, Cl" uniqKey="Chen C">CL Chen</name></author><author><name sortKey="Hong, Rl" uniqKey="Hong R">RL Hong</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Zhang, N" uniqKey="Zhang N">N Zhang</name></author><author><name sortKey="Liang, Sb" uniqKey="Liang S">SB Liang</name></author><author><name sortKey="Deng, Ym" uniqKey="Deng Y">YM Deng</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chen, L" uniqKey="Chen L">L Chen</name></author><author><name sortKey="Hu, Cs" uniqKey="Hu C">CS Hu</name></author><author><name sortKey="Chen, Xz" uniqKey="Chen X">XZ Chen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Blanchard, P" uniqKey="Blanchard P">P Blanchard</name></author><author><name sortKey="Lee, A" uniqKey="Lee A">A Lee</name></author><author><name sortKey="Marguet, S" uniqKey="Marguet S">S Marguet</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lin, J C" uniqKey="Lin J">J-C Lin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wang, Wy" uniqKey="Wang W">WY Wang</name></author><author><name sortKey="Twu, Cw" uniqKey="Twu C">CW Twu</name></author><author><name sortKey="Lin, Wy" uniqKey="Lin W">WY Lin</name></author></analytic></biblStruct><biblStruct></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Taïwan</li></country></list><tree><noCountry><name sortKey="Chang, Min Hsiang" sort="Chang, Min Hsiang" uniqKey="Chang M" first="Min-Hsiang" last="Chang">Min-Hsiang Chang</name><name sortKey="Hsieh, Pei Ying" sort="Hsieh, Pei Ying" uniqKey="Hsieh P" first="Pei-Ying" last="Hsieh">Pei-Ying Hsieh</name><name sortKey="Kuo, Deng Yu" sort="Kuo, Deng Yu" uniqKey="Kuo D" first="Deng-Yu" last="Kuo">Deng-Yu Kuo</name><name sortKey="Wang, Shan Ying" sort="Wang, Shan Ying" uniqKey="Wang S" first="Shan-Ying" last="Wang">Shan-Ying Wang</name></noCountry><country name="Taïwan"><noRegion><name sortKey="Shueng, Pei Wei" sort="Shueng, Pei Wei" uniqKey="Shueng P" first="Pei-Wei" last="Shueng">Pei-Wei Shueng</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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