%0 Case Reports
%T Unusual axillary metastasis of recurrent nasopharyngeal cancer: A case report.
%A Kuo DY
%A Chang MH
%A Wang SY
%A Hsieh PY
%A Shueng PW
%J Medicine (Baltimore)
%V 96
%N 20
%D May 2017
%M 28514301
%F 1.817
%R 10.1097/MD.0000000000006854
%X <B>BACKGROUND: </B>Nasopharyngeal carcinoma (NPC) has a high propensity of metastasis. The most commonly described sites of distant metastasis are the bones, lungs, and liver, whereas axillary metastasis is seldom reported.<BR><B>UNASSIGNED: </B>We hereby present the case of a 66-year-old man with NPC, cT2N2M0, at diagnosis. He had completed chemoradiotherapy and been disease-free for 7 years.<BR><B>UNASSIGNED: </B>After that period, late recurrence in the form of a solitary axillary lymph node metastasis was detected and confirmed by core-needle biopsy.<BR><B>METHODS: </B>The lesion was chemoresistant but responded to salvage radiotherapy at a dose of 65 Gy in 21 fractions.<BR><B>RESULTS: </B>Post-radiotherapy positron emission tomography scan showed no evidence of disease.<BR><B>CONCLUSIONS: </B>We suggested that long-term follow-up of NPC patients is important because a late relapse may occur at an unusual site. Aggressive management of solitary metastasis may achieve good outcome.