PDF(Pubmed)
Abstract：
Metastasis to the supraclavicular lymph nodes usually originate from primary tumours in the head and neck, breast or abdomen. Infradiaphragmatic tumours very rarely metastasise to these nodes. Transitional cell carcinomas (TCCs), also termed urothelial carcinomas, account for ⁓90% of all ureteral cancers; exceptionally few cases have reported such cancers spreading to the supraclavicular fossae. We present the case of a 65-year-old male who was being investigated for gallstones and was subsequently found to have metastatic bony lesions and widespread adenopathy on magnetic resonance cholangiopancreatography. Initially, the primary cancer was an area of contention between clinicians, as radiologists suggested it was of urological origin, but the bladder multidisciplinary team felt the scans did not fulfil this notion. Ultimately, histological analysis confirmed the diagnosis of metastatic TCC.
摘要：
锁骨上淋巴结转移通常起源于头颈部的原发性肿瘤，乳房或腹部。膈下肿瘤很少转移到这些节点。移行细胞癌（TCC），也称为尿路上皮癌，占所有输尿管癌的90％；很少有病例报道这种癌症扩散到锁骨上窝。我们介绍了一名65岁的男性，他正在接受胆结石的研究，随后在磁共振胰胆管造影中发现患有转移性骨性病变和广泛的腺病。最初，原发癌是临床医生之间争论的领域，放射科医生认为它是泌尿外科的，但是膀胱多学科研究小组认为扫描没有满足这一概念。最终,组织学分析证实了转移性TCC的诊断。
