Cytological diagnosis of bilateral supraclavicular swellings – Be aware of the rare

Geethamala, K; Sharanappa, Aruna; Kittur, Shreekant K

doi:10.4103/ccij.ccij_94_18

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“…They opined that high index of suspicion together with assiduous search for the typical cytological evidence constellation with clinical and radiological findings helps in arriving at an accurate diagnosis. 14 The other two cases are of prostate cancers in which the swelling in the neck developed much earlier to development of prostate related symptoms, almost 1-1.5 years later. DRE and serum PSA values played a vital role in raising suspicion for prostate cancer which was later confirmed by biopsy.…”

Section: Discussionmentioning

confidence: 99%

Cervical lymphadenopathy as initial presentation of genito-urinary cancer

Barua

Pratihar

Kaman³

et al. 2019

Int J Otorhinolaryngol Head Neck Surg

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<p class="abstract">Head and neck cancers rank fifth amongst the most affected cancers in the world. Metastasis to cervical lymph nodes is primarily from sites in head and neck. About 1% of all malignant cervical adenopathies are encountered as metastasis from remote primary site. We present here our experience of four cases in last five years. Patients presented as cervical lymphadenopathy with unknown primary, which on evaluation was found to be of genitourinary source from different sites. It is a single centre retrospective study. We reviewed cancer registry. We found four cases of genitourinary cancer with cervical lymph node metastasis. Patients presented as cervical lymphadenopathy of unknown primary. Among those one papillary renal cell cancer with rhabdoid differentiation, one testicular cancer, two prostate cancer. One case was a 67 year male patient, who revealed papillary renal cell carcinoma with rhabdoid features. Another patient was a male of 31 years, who had left testicular mass with retroperitoneal and cervical lymphadenopathy. Two patients of 68 year and 74 year respectively had metastatic prostate cancer. All patients underwent proper treatment and regularly followed up. Although rare, malignant cervical lymphadenopathy may be the first clinical manifestation of metastasis from genitourinary tumors. Evaluation of genitourinary system must be included in the protocol for uncovering the primary tumor site in cases of isolated cervical adenopathy.</p><p class="abstract"> </p>

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Section: Discussionmentioning

confidence: 99%