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KMID : 0356820180340020017
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Korean Journal of Head & Neck Oncology
2018 Volume.34 No. 2 p.17 ~ p.21
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Cervical lymph node metastasis form non-head & neck sites: below diaphragm
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Kim Jin-Il
Song Seul-Ki
Seok Jun-Girl
Lee Min-Hyung
Lee Min-Hyung
Han Sung-Jun
Jung Young-Ho
Ahn Soon-Hyun
Jeong Woo-Jin
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Abstract
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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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KEYWORD
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Distant metastasis, Supraclavicular lymph node, Oligometastasis
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