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Case Reports
. 2019 Mar;101(3):e94-e95.
doi: 10.1308/rcsann.2019.0006. Epub 2019 Feb 4.

Isolated submandibular lymph node metastasis in pancreatic adenocarcinoma

Taiwo Oyebola  1 , Akash Mavilakandy  1 , Peter Conboy  2 , Neil Bhardwaj  2
Affiliations
Case Reports

Isolated submandibular lymph node metastasis in pancreatic adenocarcinoma

Taiwo Oyebola et al. Ann R Coll Surg Engl. 2019 Mar.

Abstract

Pancreatic adenocarcinoma is a highly aggressive malignancy that usually presents at a late stage. Common sites of metastasis include the liver, lung and adjacent lymph nodes. Cervical lymph node involvement has been reported previously but there are no documented cases of submandibular lymph node metastasis in the available literature. We describe a case of pancreatic adenocarcinoma metastasis to the left submandibular lymph node with no confirmed concurrent sites of metastasis.

Keywords: Hepatopancreatobiliary surgery; Pancreatic adenocarcinoma; Submandibular lymph node; Whipple’s procedure.

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Figures

Figure 1
Figure 1
Coronal whole body FDG PET-CT showing the primary pancreatic adenocarcinoma (red arrow) and a lesion in the left lobe of the thyroid gland (blue arrow)
Figure 2
Figure 2
Axial whole body FDG PET-CT showing a confirmed isolated metastatic site in the left submandibular lymph node (red arrow)
See this image and copyright information in PMC

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