Metastatic cervical lymph node cancer in a patient with meibomian gland adenocarcinoma.

Many malignant tumors of various origin metastasize to the cervical lymph nodes. We examined a patient with metastatic cervical lymph node cancer secondary to a Meibomian gland adenocarcinoma. The patient was a 43-year-old male treated with right orbital exenteration after a diagnosis of Meibomian gland adenocarcinoma. After 8 months, the patient noted swelling of the right preauricular lymph node and parotid area. Biopsy showed lymph node recurrence of the same Meibomian gland adenocarcinoma. Treatment included right radical neck dissection and subtotal parotidectomy. This case shows that diseases not only of the ear, nose and throat area but also of the eye area can be associated with metastatic cervical lymph node cancer.