Unusual Presentation of Metastatic Prostate Carcinoma as Neck Mass
Article Type: Case Report
Aaron J Feinstein1,2, Michael Zaki1, Nicholas Lau3, Maie St John1,2,4

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

Corresponding Author:

Dr. Maie St. John MD PhD

10833 Le Conte Ave, CHS 62-132

Los Angeles, CA 90095, USA

Received: 2015-10-28 ; Accepted: 2015-11-30 ; Published: 2015-12-07
Citation: Feinstein AJ, Zaki M, Lau N, St John M (2015) Unusual Presentation of Metastatic Prostate Carcinoma as Neck Mass. JOTRL 1:10435.
Copyright: © 2015 St John M, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution and reproduction in any medium, provided the original author and source are credited.
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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.


Conclusions: 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.

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