The patient had a performance status quoted to 4 and presented also a left facial palsy graded as 6 according to House-Brackmann classification secondary to her former parotid cancer ( Fig. The patient was admitted in our department for isolated chronic supraclavicular lymphadenopathy evolving since a year.Ĭlinical examination found a fixed left supraclavicular mass, firm and painless at palpation measuring approximately 4 cm. Then, the patient received 30 sessions of adjuvant radiotherapy. Pathological examination of the surgical piece showed myoepithelial carcinoma of the parotid gland with capsular invasion measuring 5 * 2 cm, 3 N + / 12 N lymph node metastasis and presence of vascular emboli. The patient had been operated in 2018 for malignant parotid tumor undergoing a total parotidectomy with lymph node dissection of the IIA and IIB levels. We report the case of an 80 year old female patient, under treatment for hypertension, hyperuricemia and moderate renal failure, operated 8 years ago for pacemaker implantation. These case reports supplement and support the literature exposing the necessity of careful and multiple investigations in order to establish an early diagnosis for adequate treatment We report two cases treated in our Otorhinolaryngology and Head and Neck department for chronic supraclavicular lymphadenopathies, for whom further investigations showed lymph node metastasis originating from distant tumors. In fact, about 1% of all head and neck malignancies are accounted for by metastases from a remote primary site, including mostly the breast, lung, gastrointestinal or genitourinary tracts, and, uncommonly, the central nervous system. Indeed, lymphoma and tuberculosis also manifest by cervical lymph nodes thereby, they always should be taken into consideration as a differential diagnosis. Apart from these last, thyroid cancers and skin cancers of the head and neck region may present as cervical nodal metastasis. Cervical lymph nodes are a common site of metastases for malignant tumors, most commonly developed from the upper aero digestive tract malignancies.
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