횡격막 아래 장기에서 발생한 악성 종양의 경부림프절 전이 사례 분석

• 영문명: Cervical lymph node metastasis form non-head & neck sites: below diaphragm
• 발행기관: 대한두경부종양학회
• 저자명: 김진일(Jinil KIM) 송슬기(Seulki SONG) 석준걸(Jungirl SEOK) 이민형(Minhyung LEE) 한성준(Sung Jun HAN) 정영호(Young Ho JUNG) 안순현(Soon Hyun AHN) 정우진(Woo-Jin JEONG)
• 간행물 정보: 『대한두경부종양학회지』제34권 제2호, 17~21쪽, 전체 5쪽
• 주제분류: 의약학 > 종양학
• 파일형태: PDF
• 발행일자: 2018.11.30

영문 초록

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.

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키워드

Distant metastasis Supraclavicular lymph node Oligometastasis