Abstract:
The occurrence of oral squamous cell carcinoma synchronously with lymphoma arising primarily in cervical lymph nodes is rare. Here, we report a case representing an infrequent finding. A 66-year-old male who was diagnosed with right mandibular squamous cell carcinoma and was subsequently found to have a nodal follicular lymphoma as a second malignancy. The patient underwent surgical resection for the oral squamous cell carcinoma with right selective neck dissection. The multidisciplinary team\'s postoperative treatment strategy involved adjuvant radiotherapy for the oral squamous cell carcinoma, while adopting a close follow-up approach for the follicular lymphoma. After an 18-month follow-up, there were no evidence of disease progression. This case report highlights the diagnostic challenges of synchronous primary malignancies occurring in the head and neck region. It also underscores the importance to conduct a comprehensive clinical and histopathological examination to rule out the possibility of synchronous neoplasms.
摘要:
口腔鳞状细胞癌与主要在颈部淋巴结中同时出现的淋巴瘤很少发生。这里,我们报告了一个罕见的发现。一名66岁的男性,被诊断患有右下颌鳞状细胞癌,随后被发现患有淋巴结滤泡性淋巴瘤作为第二恶性肿瘤。患者接受了口腔鳞状细胞癌的手术切除,并进行了右选择性颈清扫术。多学科团队的术后治疗策略涉及口腔鳞状细胞癌的辅助放疗,同时对滤泡性淋巴瘤采取密切随访的方法。经过18个月的随访,没有疾病进展的证据.此病例报告强调了发生在头颈部区域的同步原发性恶性肿瘤的诊断挑战。它还强调了进行全面的临床和组织病理学检查以排除同步肿瘤的可能性的重要性。