Prostate Cancer Presenting as Left Supraclavicular Lymphadenopathy and a Review of the Literature

Hanzali, Jumastapha and Sakina, Ghauth (2020) Prostate Cancer Presenting as Left Supraclavicular Lymphadenopathy and a Review of the Literature. Asian Journal of Case Reports in Medicine and Health, 3 (2). pp. 18-25. ISSN 2456-8414

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Abstract

Aims:Patients presenting with a neck mass are commonly seen by the ENT surgeon. They are also usually related to head and neck tumours. However, cervical node involvement from the prostate is rare, especiallyas an initial presentation of the disease. We report a case of prostate carcinoma presenting with a left supraclavicular lymph node.Presentation of Case:A 61-year-old gentleman presented to our clinic with a rapidly growing left sided neck mass. Fine needle aspiration cytology (FNAC) of the neck mass was interpreted as metastatic carcinoma. It was later revealed by the patient that he had been experiencing lower urinary tract symptoms (LUTS). PSA was 1331ng/ml. He was referred to our urology service andwas treated as metastatic prostate cancer.Discussion: Prostate cancer commonly spreads to the regional lymph nodes, pelvic organs, or the axial skeleton. Distant metastases to the cervical nodes are rare and accounts for 0.3-1% of cases.Conclusion: In male patients presenting with left supraclavicular mass, it is important for the clinician to keep in mind of the possibility of metastases from prostatic malignancy.

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