First signs of late nodal metastases
Reviewed by Stuart Clark

This is a retrospective review of 65 patients who had late metastases during follow-up after initial curative treatment. They analyse the detection methods of palpation, ultrasound, CT and subjective symptoms. Palpation detected the nodes in 31 patients, ultrasound in 17, CT in 12 and subjective symptoms in five. They noted that palpation did not provide the first sign in over half of the cases. They suggest that whilst palpation remains the most important method during follow-up, other diagnostic methods may be required for appropriate evaluation.

First signs of late presenting cervical lymph node metastasis in oral cancers during follow up.
Sumino J, Uzawan, Ohyama Y, et al.
INTERNATIONAL JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY
2017;46(6):676-81.