Cervical lymph node enlargement on the right side as the initial manifestation of metastatic prostate cancer

Abstract

OBJECTIVES: Cervical lymph node enlargement (LAP) due to metastatic spread is an uncommon manifestation of prostatic adenocarcinoma. In case of non-regional lymphatic spread, left supraclavicular region was found to be the most common site (1,2,3) whereas right sided metastatic lymph node involvement has been extremely uncommon. METHODS: We here in describe a case of a 75 year-old man who had an enlarged cervical lymph node for a year which subsequently proved to be involved by metastatic adenocarcinoma of the prostate. CONCLUSIONS: Although, prostate cancer rarely metastasize to the cervical lymph node chain it should always be considered in the differential diagnosis of metastatic lymph node enlargement in the cervical area of elderly men.