外側後咽頭リンパ節(ルビエールリンパ節)に後発転移を生じた上顎骨中心性扁平上皮癌の1例 A case of central squamous cell carcinoma of the maxilla with late metastasis to the lateral retropharyngeal (Rouviere) lymph nodes
AA case of central squamous cell carcinoma of the maxilla is presented. A 58-year-old man underwent surgery for a clinical diagnosis of radicular cyst of 2 at another hospital. However, the histologic diagnosis was squamous cell carcinoma of the maxilla, and the patient was referred to our hospital. CT examination showed that the tumor originated intraosseously. The left submandibular lymph nodes were enlarged. He underwent left neck dissection and partial maxillectomy, but recurrence occurred in the contralateral retropharyngeal space (Rouviere lymph nodes). Right neck dissection combined with parapharyngeal dissection was performed, followed by postoperative radiotherapy and chemotherapy, but he died of neck recurrence and distant metastasis 10 months after presentation.
日本口腔外科学会雑誌 49(3), 202-205, 2003-03-20
Japanese Society of Oral and Maxillofacial Surgeons