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Squamous cell carcinoma of the pharynx and larynx presenting as a neck abscess or cellulitis

Published online by Cambridge University Press:  29 June 2007

W. C. Lee*
Affiliation:
Department of Otolaryngology, North Staffordshire Royal Infirmary, Stoke-on-Trent, UK.
R. M Walsh
Affiliation:
Department of Otolaryngology, North Staffordshire Royal Infirmary, Stoke-on-Trent, UK.
A. Tse
Affiliation:
Department of Otolaryngology, North Staffordshire Royal Infirmary, Stoke-on-Trent, UK.
*
Address for correspondence: Mr. W. C. Lee, Eye, Ear and Throat Hospital, Shrewsbury, SY1 1JS. Fax: 01743 357925

Abstract

Head and neck tumours presenting as a neck abscess or cellulitis are extremely rare. We report two cases of supraglottic squamous cell carcinoma which presented as an abscess in the site of metastatic neck nodes, one of which was occult and a third case of squamous cell carcinoma of the pyriform fossa which presented as cervical cellulitis. Biopsy of the abscess wall at the time of drainage and careful follow-up may lead to an earlier diagnosis of occult carcinoma.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1996

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References

Canalis, R. F., Jenkins, H. A., Osguthorpe, J. D. (1979) Acute laryngeal abscesses. Annals of Otology, Rhinology and Laryngology 88: 275279.CrossRefGoogle ScholarPubMed
de Marie, S., Tjon, A., Tham, R. T., van der Mey, A. G., Meerdink, G., van Furth, R., van der Meer, J. W. (1989) Clinical infections and nonsurgical treatment of parapharyngeal space infections complicating throat infection. Reviews of Infectious Diseases 11: 975982.CrossRefGoogle ScholarPubMed
Dong, P. (1992) Laryngeal carcinoma with laryngeal abscess [Chinese] Chung Hua Erh Pi Yen Hou Ko Tsa Chih [Chinese Journal of Otorhinolaryngology] 27: 295296.Google Scholar
Hibbert, J. (1987) Acute infection of the pharynx and tonsils. In Scott-Brown's Otolaryngology. 5th Edition, Vol. 5, (Kerr, A. G., Groves, J., eds.), Butterworths, London, pp 7698.Google Scholar
Johnson, J. T. (1992) Abscesses and deep space infections of the head and neck. Infectious Disease Clinics of North America 6: 705717.CrossRefGoogle ScholarPubMed
Nigro, M. A., Chieregato, G., Castellani, L. (1992) Metastatic hypopharyngeal mimicking necrotizing vasculitis of the skin. Cutis 49: 187188.Google ScholarPubMed
Ross, H. (1965) Metastatic squamous carcinoma in lymph nodes with abscess formation. Australian and New Zealand Journal of Surgery 35: 103107.CrossRefGoogle ScholarPubMed
Sethi, D. S., Stanley, R. E. (1994) Deep neck abscesses - changing trends. Journal of Laryngology and Otology 108: 138143.CrossRefGoogle ScholarPubMed
Thompson, H. Y., Fulmer, R. P., Schnadig, V. J. (1994) Metastatic squamous cell carcinoma of the tonsil presenting as multiple cystic neck masses. Report of a case with fine needle aspiration findings. Acta Cytologica 38: 605607.Google ScholarPubMed
Tom, M. B., Rice, D. H. (1988) Presentation and management of neck abscess: a retrospective analysis. Laryngoscope 98: 877880.CrossRefGoogle ScholarPubMed