ADVERTISEMENT
ADVERTISEMENT

Q. Even after surgery and chemo, some swelling in neck was detected as SCC. Is it possible?

Answered by
Dr. Pratik Patil
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on May 21, 2020

Hi doctor,

The imaging of the neck region was done and some lesions were detected. The operation of lower jaw and neck region was done followed by chemotherapy and radiotherapy and it was stated that things will settle to normal. During routine checkup, some swelling in neck region was detected and FNAC was done, which shows metastatic poorly differentiated squamous cell carcinoma, and after that full-body scan was performed. The reports are attached. Kindly look into it as the second opinion is required.

ADVERTISEMENT
#

Hello,

Welcome to icliniq.com.

I am sorry to know the recurrence of cancer. (attachment removed to protect patient identity).

You got diagnosed with squamous cell carcinoma in buccal mucosa of the left oral cavity in December 2019 which was operated. Then you received chemotherapy and radiation therapy and now on routine evaluation, there are some new lesions coming up in the thyroid and neck.

So basically there are two sites of new lesions now, in parotid and around it one more lymph node. So please undergo a biopsy of this lesion from parotid to see if it is same cancer as before or a new second primary cancer.

If it is confirmed as same cancer as before, it will be operated and taken out and also few more lymph nodes on the same side of the neck followed by chemotherapy.

If a second primary cancer, then treatment can be different depending upon what type of cancer it is (on biopsy). So your first step is biopsy.

Thank you doctor,

The FNA is performed and the report is attached based on that FNA report the full body scan was performed. Now the doctor is saying for surgical removal of this lesion also stating that no other treatment is required. The following are my concerns for which your opinion is required.

Whether FNA will be adequate to diagnose this (report attached) or further biopsy will be needed as in your answer? The chemo and radiation have just finished (a month ago) is it advisable to go for operation again? As per the latest scans doctor told us that no other lesion is present in the body what is your opinion on that? If the surgery is performed what are the complexities in such kind of operation and what are the chances of success? Also, what are the chances of recurrence of this again as the first time we were told that the success rate is almost 100% but this happened?

#

Hello,

Welcome back to icliniq.com.

FNA (fine needle aspiration) report is adequate (attachment removed to protect patient identity) and should proceed for surgery. Chemo and radiation is finished I agree but the disease is back so it looks like an aggressive biology disease which needs to be treated aggressively.

It is a localized disease as on PET (positron emission tomography) scan so we are going for surgery followed by chemo (RT, if required, looking at post-surgery findings). We are going for curative resection.

Looking at the scans, surgery is feasible and not very complex, it will remove all nodes that are enlarged and all other normal nodes as well which will lessen the chances of further recurrence.

Note - This is aggressive disease biology, recurrence so soon after first chemo and radiation makes it a bad disease to have. Hence treatment needs to be aggressive and prompt.


Was this answer helpful?

 | 

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!



Related Questions:
I have a benign multinodular goiter. Is there a need for thyroidectomy?

.. see the FNAC (fine needle aspiration), and ultrasound of the thyroid reports? Do you have a family history of thyroid illness? Revert with more information to an endocrinologist online --> .. ...   Read full

What is the small painless lump in the breast?

.. seen your attached FNAC report (attachment removed to protect patient identity). It is suggestive of a fibroadenoma which is a very common and mostly harmless condition. It occurs as a result of some hormonal changes during the course of developme...   Read full

My thyroids are enlarged and asymmetrical. Should I visit an endocrinologist?

.. lot for such a detailed history, it makes my job easier. I would want to know what was the result of the biopsy or FNAC (fine needle aspiration cytology). Based on that, I shall be in a better position to tell you the next step. Your thyroid is ...   Read full

ADVERTISEMENT

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read


Management of Coronasomnia
Coronasomnia refers to increased sleep problems among people during the COVID-19 pandemic. Read the below article to get...  Read more»
Balantidiasis - Causes, Signs and Symptoms, Diagnosis, Treatment, and Prevention
Balantidiasis is a rare bacterial infection caused by a parasite called Balantidium coli. Read the article below to know...  Read more»
JAK Inhibitors in Treating Rheumatoid Arthritis
Doctors mainly suggest JAK or Janus kinase inhibitors for patients with rheumatoid arthritis to ease their symptoms. Rea...  Read more»

Ask your health query to a doctor online?

Ask a Medical Oncologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.