Document Detail

The first report of bilateral retropharyngeal lymph node metastasis from papillary thyroid carcinoma and review of the literature.
MedLine Citation:
PMID:  21888566     Owner:  NLM     Status:  Publisher    
Abstract The sites of lymph node metastasis of papillary thyroid carcinomas are typically the paratracheal and jugular lymph nodes. On the other hand, metastasis to the retropharyngeal or parapharyngeal nodes from papillary thyroid carcinomas is very rare. During the last two decades, limited to cases with a histologically definite diagnosis by surgery, only 39 cases have been reported. All reported cases were unilateral retropharyngeal or parapharyngeal node metastasis except one metachronous bilateral case, and there were no reports of simultaneous bilateral cases within our literature review. We report three cases of retropharyngeal node metastasis from thyroid papillary carcinoma, including a case of bilateral nodal metastasis. Retropharyngeal node metastasis was successfully resected in all three patients by the transcervical approach. As pointed out in past reports, this report also suggests that prior neck dissection and/or metastasis to cervical lymph nodes might alter the direction of lymphatic drainage to the retrograde fashion, resulting in the unusual metastasis to the retropharyngeal lymph nodes, and there is a possibility of a bilateral pattern. Also, it is necessary to consider the possibility of metastasis from a papillary thyroid carcinoma in the differential diagnosis of lymph node swelling in the parapharyngeal space.
Kazuyuki Kainuma; Ryosuke Kitoh; Hidekane Yoshimura; Shin-Ichi Usami
Related Documents :
1178096 - Spinal neurinomas.--a comprehensive clinical and statistical study on 47 cases.
8396836 - Two distinct ubiquitin immunoreactive senile plaques in alzheimer's disease: relationsh...
2606496 - Xecl laser in biliary calculus fragmentation: fluence threshold and ablation products.
11195986 - Posttraumatic stress disorder and retrospectively reported stressor exposure: a longitu...
22951066 - Internal jugular vein hemangioma.
14696806 - Childhood lichen planus with nail involvement: a case.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-9-5
Journal Detail:
Title:  Acta oto-laryngologica     Volume:  -     ISSN:  1651-2251     ISO Abbreviation:  -     Publication Date:  2011 Sep 
Date Detail:
Created Date:  2011-9-5     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370354     Medline TA:  Acta Otolaryngol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Department of Otorhinolaryngology , Shinshu University School of Medicine, Matsumoto , Japan.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Experiments on the mechanism of underwater hearing.
Next Document:  Risk factors for mortality in patients with Burkholderia cepacia complex bacteraemia.