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Korean Journal of Head & Neck Oncology 2018;34(2):17-21.
Published online November 30, 2018.
Cervical lymph node metastasis form non-head & neck sites: below diaphragm
Jinil KIM;Seulki SONG;Jungirl SEOK;Minhyung LEE;Sung Jun HAN;Young Ho JUNG;Soon Hyun AHN;Woo-Jin JEONG
횡격막 아래 장기에서 발생한 악성 종양의 경부림프절 전이 사례 분석
김진일;송슬기;석준걸;이민형;한성준;정영호;안순현;정우진
Abstract
Background/Objectives
Cancers of the abdominal or pelvic organ rarely metastasize to the cervical lymph nodes. Although it indicates distant metastasis, perceivable prolongation of survival or cure may be possible in selected cases. We sought to identify patients with cervical metastasis from cancers below the diaphragm and identify patients who may benefit from aggressive treatment.
Materials & Methods
From 2009 to 2017, patients with pathologically confirmed metastatic cervical lymph nodes originating from below the diaphragm were included for analysis. Patient demographics, cancer characteristics, treatment course, and clinical outcomes were analyzed.
Results
208 patients were identified. Left supraclavicular node (Virchow’s node) was the most frequently involved. Irrespective of treatment, survival for uterine cervical and ovarian cancers was significantly longer than that of other primaries. Patients with isolated cervical metastasis (oligometastasis) had significantly longer median survival compared to patients with concomitant bone, lung, brain, and mediastinal metastases.
Conclusion
Although cervical metastasis from cancers of the abdominal and pelvic organ represent distant metastasis, patients with uterine cervix and ovary primary and oligometastatic lesions may benefit from aggressive treatment. Prudent patient selection and further investigation is warranted.
Key Words: Distant metastasis, Supraclavicular lymph node, Oligometastasis
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