OBJECTIVES: To present an extremely rare case of large Delphian node metastasis preceding primary laryngeal cancer. MATERIALS AND METHODS: A 74-year-old male who noted a mass on the lower anterior neck and consulted our department immediately. The mass rapidly grew to 6cm from 2cm in diameter within 2 months after the initial presentation. RESULTS: Fiberoptic laryngoscopy was unremarkable. Surgical excision of the lesion showed well differentiated squamous cell carcinoma with invasion into the surrounding tissues. Postoperative radiotherapy was added. During follow-up after those treatments, thickening of the right vocal cord was observed, which gradually became more apparent. Total laryngectomy was performed 13 months after the initial operation. CONCLUSION: Delphian node metastasis is included in the differential diagnosis in a case of rapidly increasing mass in the anterior neck.
OBJECTIVES: To present an extremely rare case of large Delphian node metastasis preceding primary laryngeal cancer. MATERIALS AND METHODS: A 74-year-old male who noted a mass on the lower anterior neck and consulted our department immediately. The mass rapidly grew to 6cm from 2cm in diameter within 2 months after the initial presentation. RESULTS: Fiberoptic laryngoscopy was unremarkable. Surgical excision of the lesion showed well differentiated squamous cell carcinoma with invasion into the surrounding tissues. Postoperative radiotherapy was added. During follow-up after those treatments, thickening of the right vocal cord was observed, which gradually became more apparent. Total laryngectomy was performed 13 months after the initial operation. CONCLUSION: Delphian node metastasis is included in the differential diagnosis in a case of rapidly increasing mass in the anterior neck.