1Department of Head and Neck Surgery, UCLA, Los Angeles, California, USA
2UCLA Head and Neck Cancer Program, Los Angeles, California
3Department of Pathology, Harbor-UCLA Medical Center, Torrance, California, USA
4Jonsson Comprehensive Cancer Center, David Geffen School of Medicine at UCLA, Los Angeles, California
Dr. Maie St. John MD PhD
10833 Le Conte Ave, CHS 62-132
Los Angeles, CA 90095, USA
Background: Development of a neck mass in an adult is concerning for malignancy. Many patients with this presentation are found to have head and neck squamous cell carcinoma or thyroid cancer.
Methods and Results: A healthy 54-year-old male patient was evaluated for a new left supraclavicular mass with initial biopsy results suggestive of salivary origin. Further workup demonstrated a primary prostate adenocarcinoma with metastasis to the neck. Prostate cancer frequently metastasizes to the bone or regional pelvic lymph nodes, but distant metastasis to the supraclavicular lymph nodes is rarely reported. Initial presentation as a neck mass without associated urinary symptoms is exceedingly rare.
Here, we present a rare case of prostate carcinoma presenting with
supraclavicular lymph node enlargement and a review of the relevant literature
is provided. Patients with unusual
presentations of common complaints require a comprehensive evaluation.