TY - JOUR
T1 - Metastatic squamous cell carcinoma to the superior cervical ganglion mimicking a retropharyngeal lymph node
AU - Moubayed, Sami P.
AU - Machado, Rosalie
AU - Osorio, Marcela
AU - Khorsandi, Azita
AU - Hernandez-Prera, Juan
AU - Urken, Mark L.
N1 - Publisher Copyright:
© 2017 Elsevier Inc.
PY - 2017/11
Y1 - 2017/11
N2 - Background Metastasis of squamous cell carcinoma (SCC) to the superior cervical ganglion (SCG) has never been reported. Its anatomic location may easily be mistaken for a retropharyngeal lymph node. We present the first case of SCC metastasis to the SCG. Methods We report a case of a 69 year-old never smoking male, who presented with right retropharyngeal PETCT-avid disease following chemoradiation for squamous cell carcinoma of the tonsil. He was brought to the operating room for resection, intraoperative radiation and reconstruction. Results Intraoperatively, visualization and frozen section confirmed squamous cell carcinoma located in the superior cervical ganglion. The ganglion was resected, intraoperative radiation was given and the patient was reconstructed with a radial forearm free flap. Postoperatively, the patient displayed features of a Horner's syndrome. Conclusions The superior cervical ganglion may be mistaken for a retropharyngeal lymph node. Although extremely rare, these entities may be differentiated on the basis of radiological studies.
AB - Background Metastasis of squamous cell carcinoma (SCC) to the superior cervical ganglion (SCG) has never been reported. Its anatomic location may easily be mistaken for a retropharyngeal lymph node. We present the first case of SCC metastasis to the SCG. Methods We report a case of a 69 year-old never smoking male, who presented with right retropharyngeal PETCT-avid disease following chemoradiation for squamous cell carcinoma of the tonsil. He was brought to the operating room for resection, intraoperative radiation and reconstruction. Results Intraoperatively, visualization and frozen section confirmed squamous cell carcinoma located in the superior cervical ganglion. The ganglion was resected, intraoperative radiation was given and the patient was reconstructed with a radial forearm free flap. Postoperatively, the patient displayed features of a Horner's syndrome. Conclusions The superior cervical ganglion may be mistaken for a retropharyngeal lymph node. Although extremely rare, these entities may be differentiated on the basis of radiological studies.
KW - Horner's syndrome
KW - Metastasis
KW - Squamous cell carcinoma
KW - Superior cervical ganglion
UR - http://www.scopus.com/inward/record.url?scp=85028296197&partnerID=8YFLogxK
U2 - 10.1016/j.amjoto.2017.07.001
DO - 10.1016/j.amjoto.2017.07.001
M3 - Article
C2 - 28844495
AN - SCOPUS:85028296197
SN - 0196-0709
VL - 38
SP - 720
EP - 723
JO - American Journal of Otolaryngology - Head and Neck Medicine and Surgery
JF - American Journal of Otolaryngology - Head and Neck Medicine and Surgery
IS - 6
ER -