A 19-year-old man was successfully treated by total glosscctomy for squamous cell carcinoma on the right margin of the tongue. A pectoralis major musculocutancous flap and deltopectoral flap were used to cover that oral cavity and the orophynx reconstructed area. Right radical neck dissection and left supraomohyoid neck dissection were performed, which histologically revealed no lymphnode metastasis. The primary lesion was treated by surgery and was well controlled, but a cervical lymphnode metastasis was found one year later (left side). CT-scan, echography and angiography showed that the metastatic cervical tumor surrounded the internal jugular vein and invaded into the wall of the internal jugular vein.
Angiography especially showed a decreased blood flow. The histological diagnosis was made by fine needle aspiration. The reconstructive surgery was performed by transplanting the great saphenous vein after removal of the metastatic tumor and the internal jugular vein.
Angiography especially showed a decreased blood flow. The histological diagnosis was made by fine needle aspiration. The reconstructive surgery was performed by transplanting the great saphenous vein after removal of the metastatic tumor and the internal jugular vein.
