Metastatic neck node with unknown primary

  • Md Abdul Karim Junior Consultant, Department of Otolaryngology Head & Neck Surgery, Sadar Hospital, Lakshmipur
  • Belayat Hossain Siddiquee Professor, Head & Neck Surgery Division, Department of Otolaryngology Head & Neck Surgery, BSMMU, Dhaka
  • Mostafa Kamal Masud Resident, Department of Otolaryngology Head & Neck Surgery, BSMMU, Dhaka
  • Abdullah Al Harun Resident, Department of Otolaryngology Head & Neck Surgery, BSMMU, Dhaka
  • Sheikh Hasanur Rahman Associate Professor, Department of Otolaryngology Head & Neck Surgery, BSMMU, Dhaka.
Keywords: Metastatic, Neck Node, Unknown Primary

Abstract

Objective: To find out the clinical presentation of metastatic neck node with unknown primary.

Methods: A cross-sectional study done on the admitted patient from four tertiary level hospitals in Dhaka city from January 2010 to September 2010.

Results: Most of the cases were squamous cell carcinoma (68.75%). the next common was adenocarcinoma (15.62%) and undifferentiated carcinoma (12.5%). Melanoma was a rare condition (3.13%). The commonest age group was 6th decade (40.63%) which was followed by 5th decade (28%). None of the case was found bellow the age of 30 years. The male to female ratio was 2:1. Commonest metastatic group of lymph node was Level II (50%), followed by Level- III (22%) Level- IV (19%), Level- V (6%) and Level- I (3%). Staging of lymph nodes were N2A (35%), N1 (31%), N2B (16%), N3 (12.5%) and N2C (6.25%) in decreasing order of frequency. About 72% cases are smoker.

Conclusion: Metastatic carcinoma with unknown primary tumour commonly present in elderly age group and majority of cases are squmous cell carcinoma.

DOI: http://dx.doi.org/10.3329/bjo.v19i2.17631

Bangladesh J Otorhinolaryngol 2013; 19(2): 94-98

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Abstract
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Published
2014-01-13
How to Cite
Karim, M., Siddiquee, B., Masud, M., Harun, A., & Rahman, S. (2014). Metastatic neck node with unknown primary. Bangladesh Journal of Otorhinolaryngology, 19(2), 94-98. https://doi.org/10.3329/bjo.v19i2.17631
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Original Articles