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Metastatic papillary thyroid carcinoma with absence of tumor focus in thyroid gland
BACKGROUND: Papillary thyroid carcinoma presenting as isolated cervical lymphadenopathy with clinically and histologically normal thyroid gland is rarely reported. CASE REPORT: We report a case of 31 years old female who presented with a left cervical mass and clinically normal thyroid gland. After...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
International Scientific Literature, Inc.
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3619041/ https://www.ncbi.nlm.nih.gov/pubmed/23569568 http://dx.doi.org/10.12659/AJCR.883834 |
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author | Singh, Anil Butuc, Radu Lopez, Ricardo |
author_facet | Singh, Anil Butuc, Radu Lopez, Ricardo |
author_sort | Singh, Anil |
collection | PubMed |
description | BACKGROUND: Papillary thyroid carcinoma presenting as isolated cervical lymphadenopathy with clinically and histologically normal thyroid gland is rarely reported. CASE REPORT: We report a case of 31 years old female who presented with a left cervical mass and clinically normal thyroid gland. After inconclusive FANC, excision biopsy of her cervical lymph nodes revealed metastatic papillary thyroid carcinoma. The patient subsequently underwent total thyroidectomy with bilateral lymph node dissection. Interestingly pathological examination showed no primary carcinoma in the gland. Postoperative radioactive iodine scan revealed no other metastasis. CONCLUSIONS: Total thyroidectomy is the next best step despite clinically and radiologically normal appearing thyroid gland once cervical lymph nodes are proven to be metastatic in nature followed by a RAI therapy to treat occult foci of PTC. |
format | Online Article Text |
id | pubmed-3619041 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | International Scientific Literature, Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-36190412013-04-08 Metastatic papillary thyroid carcinoma with absence of tumor focus in thyroid gland Singh, Anil Butuc, Radu Lopez, Ricardo Am J Case Rep Case Report BACKGROUND: Papillary thyroid carcinoma presenting as isolated cervical lymphadenopathy with clinically and histologically normal thyroid gland is rarely reported. CASE REPORT: We report a case of 31 years old female who presented with a left cervical mass and clinically normal thyroid gland. After inconclusive FANC, excision biopsy of her cervical lymph nodes revealed metastatic papillary thyroid carcinoma. The patient subsequently underwent total thyroidectomy with bilateral lymph node dissection. Interestingly pathological examination showed no primary carcinoma in the gland. Postoperative radioactive iodine scan revealed no other metastasis. CONCLUSIONS: Total thyroidectomy is the next best step despite clinically and radiologically normal appearing thyroid gland once cervical lymph nodes are proven to be metastatic in nature followed by a RAI therapy to treat occult foci of PTC. International Scientific Literature, Inc. 2013-03-15 /pmc/articles/PMC3619041/ /pubmed/23569568 http://dx.doi.org/10.12659/AJCR.883834 Text en © Am J Case Rep, 2013 This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License |
spellingShingle | Case Report Singh, Anil Butuc, Radu Lopez, Ricardo Metastatic papillary thyroid carcinoma with absence of tumor focus in thyroid gland |
title | Metastatic papillary thyroid carcinoma with absence of tumor focus in thyroid gland |
title_full | Metastatic papillary thyroid carcinoma with absence of tumor focus in thyroid gland |
title_fullStr | Metastatic papillary thyroid carcinoma with absence of tumor focus in thyroid gland |
title_full_unstemmed | Metastatic papillary thyroid carcinoma with absence of tumor focus in thyroid gland |
title_short | Metastatic papillary thyroid carcinoma with absence of tumor focus in thyroid gland |
title_sort | metastatic papillary thyroid carcinoma with absence of tumor focus in thyroid gland |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3619041/ https://www.ncbi.nlm.nih.gov/pubmed/23569568 http://dx.doi.org/10.12659/AJCR.883834 |
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