1. ¹Department of Surgery, Division of Otolaryngology, Bassett Healthcare, Cooperstown, New York, USA
2. ²Department of Surgery, Division of Urologic Surgery and Duke Prostate Center (DPC), Duke University Medical Center, Durham, North Carolina, USA

Correspondence: P Dahm, Duke University Medical Center, Research Drive, MSRB 477, Durham, NC 27710, USA. E-mail: dahm0001@mc.duke.edu

Received 2 February 2005; Revised 22 March 2005; Accepted 14 April 2005; Published online 17 May 2005.

Abstract

Prostate cancer often metastasizes to the regional lymph nodes, but metastases to distant supradiaphragmatic lymph nodes are uncommon. Rare case reports describe cervical lymph node metastases as the first clinical manifestation of prostate cancer, but only in the setting of widely disseminated disease. We present the unusual case of an 84-y-old male with a known history of prostate cancer and recurrent disease limited to the left supraclavicular lymph nodes.