Submandibular Gland Invasion From a Metastatic Lymph Node in Patients With Buccal Mucosal Squamous Cell Carcinoma: A Case Report
This report presents a rare case of direct invasion from a metastatic submandibular lymph node (SMLN) to submandibular gland (SMG) in a resected specimen of neck dissection (ND) of buccal mucosal squamous cell carcinoma (SCC). The patient was an 82-year-old woman with a clinical diagnosis of the lef...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2024-01-01
|
| Series: | Case Reports in Dentistry |
| Online Access: | http://dx.doi.org/10.1155/2024/7940535 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1841524350162829312 |
|---|---|
| author | Moeka Bukawa Kenji Yamagata Satoshi Fukuzawa Shohei Takaoka Fumihiko Uchida Naomi Ishibashi-Kanno Hiroki Bukawa |
| author_facet | Moeka Bukawa Kenji Yamagata Satoshi Fukuzawa Shohei Takaoka Fumihiko Uchida Naomi Ishibashi-Kanno Hiroki Bukawa |
| author_sort | Moeka Bukawa |
| collection | DOAJ |
| description | This report presents a rare case of direct invasion from a metastatic submandibular lymph node (SMLN) to submandibular gland (SMG) in a resected specimen of neck dissection (ND) of buccal mucosal squamous cell carcinoma (SCC). The patient was an 82-year-old woman with a clinical diagnosis of the left buccal mucosal SCC (cT4bN2bM0, Stage IVB). The tracheostomy, modified radical neck dissection, buccal mucosal cancer resection including maxillary partial resection, mandibular segmentectomy, and reconstructive surgery with a plate and a free rectus abdominis flap were performed. Pathologically, the infiltrating SCC was observed in the SMG continuous with SMLN metastasis (pT4bN3bM0). No adjuvant therapy was performed for old age and oral intake dysfunction. Contrast CT detected the multiple lung and left scapula metastases at postoperative 5 months, which made the policy of best supportive care. Finally, she died 9 months after the surgery from distant metastases. SMG involvement from direct invasion from a metastatic SMLN is relatively rare. In our case, although the patient died from distant metastases, locoregional control was achieved through curative resection of the primary tumor and ND performed as one block with reconstructive surgery. |
| format | Article |
| id | doaj-art-5f5e5c4ab8544baa913a11d395b13966 |
| institution | Kabale University |
| issn | 2090-6455 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Dentistry |
| spelling | doaj-art-5f5e5c4ab8544baa913a11d395b139662025-02-03T07:14:08ZengWileyCase Reports in Dentistry2090-64552024-01-01202410.1155/2024/7940535Submandibular Gland Invasion From a Metastatic Lymph Node in Patients With Buccal Mucosal Squamous Cell Carcinoma: A Case ReportMoeka Bukawa0Kenji Yamagata1Satoshi Fukuzawa2Shohei Takaoka3Fumihiko Uchida4Naomi Ishibashi-Kanno5Hiroki Bukawa6Department of Oral and Maxillofacial SurgeryDepartment of Oral and Maxillofacial SurgeryDepartment of Oral and Maxillofacial SurgeryDepartment of Oral and Maxillofacial SurgeryDepartment of Oral and Maxillofacial SurgeryDepartment of Oral and Maxillofacial SurgeryDepartment of Oral and Maxillofacial SurgeryThis report presents a rare case of direct invasion from a metastatic submandibular lymph node (SMLN) to submandibular gland (SMG) in a resected specimen of neck dissection (ND) of buccal mucosal squamous cell carcinoma (SCC). The patient was an 82-year-old woman with a clinical diagnosis of the left buccal mucosal SCC (cT4bN2bM0, Stage IVB). The tracheostomy, modified radical neck dissection, buccal mucosal cancer resection including maxillary partial resection, mandibular segmentectomy, and reconstructive surgery with a plate and a free rectus abdominis flap were performed. Pathologically, the infiltrating SCC was observed in the SMG continuous with SMLN metastasis (pT4bN3bM0). No adjuvant therapy was performed for old age and oral intake dysfunction. Contrast CT detected the multiple lung and left scapula metastases at postoperative 5 months, which made the policy of best supportive care. Finally, she died 9 months after the surgery from distant metastases. SMG involvement from direct invasion from a metastatic SMLN is relatively rare. In our case, although the patient died from distant metastases, locoregional control was achieved through curative resection of the primary tumor and ND performed as one block with reconstructive surgery.http://dx.doi.org/10.1155/2024/7940535 |
| spellingShingle | Moeka Bukawa Kenji Yamagata Satoshi Fukuzawa Shohei Takaoka Fumihiko Uchida Naomi Ishibashi-Kanno Hiroki Bukawa Submandibular Gland Invasion From a Metastatic Lymph Node in Patients With Buccal Mucosal Squamous Cell Carcinoma: A Case Report Case Reports in Dentistry |
| title | Submandibular Gland Invasion From a Metastatic Lymph Node in Patients With Buccal Mucosal Squamous Cell Carcinoma: A Case Report |
| title_full | Submandibular Gland Invasion From a Metastatic Lymph Node in Patients With Buccal Mucosal Squamous Cell Carcinoma: A Case Report |
| title_fullStr | Submandibular Gland Invasion From a Metastatic Lymph Node in Patients With Buccal Mucosal Squamous Cell Carcinoma: A Case Report |
| title_full_unstemmed | Submandibular Gland Invasion From a Metastatic Lymph Node in Patients With Buccal Mucosal Squamous Cell Carcinoma: A Case Report |
| title_short | Submandibular Gland Invasion From a Metastatic Lymph Node in Patients With Buccal Mucosal Squamous Cell Carcinoma: A Case Report |
| title_sort | submandibular gland invasion from a metastatic lymph node in patients with buccal mucosal squamous cell carcinoma a case report |
| url | http://dx.doi.org/10.1155/2024/7940535 |
| work_keys_str_mv | AT moekabukawa submandibularglandinvasionfromametastaticlymphnodeinpatientswithbuccalmucosalsquamouscellcarcinomaacasereport AT kenjiyamagata submandibularglandinvasionfromametastaticlymphnodeinpatientswithbuccalmucosalsquamouscellcarcinomaacasereport AT satoshifukuzawa submandibularglandinvasionfromametastaticlymphnodeinpatientswithbuccalmucosalsquamouscellcarcinomaacasereport AT shoheitakaoka submandibularglandinvasionfromametastaticlymphnodeinpatientswithbuccalmucosalsquamouscellcarcinomaacasereport AT fumihikouchida submandibularglandinvasionfromametastaticlymphnodeinpatientswithbuccalmucosalsquamouscellcarcinomaacasereport AT naomiishibashikanno submandibularglandinvasionfromametastaticlymphnodeinpatientswithbuccalmucosalsquamouscellcarcinomaacasereport AT hirokibukawa submandibularglandinvasionfromametastaticlymphnodeinpatientswithbuccalmucosalsquamouscellcarcinomaacasereport |