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Case Report: A papillary thyroid microcarcinoma patient with skip lymph node metastasis and multiple distant metastasis

Papillary thyroid carcinoma (PTC) is the most common type of thyroid cancer. Papillary thyroid microcarcinoma (PTMC) is defined as PTC with a diameter less than 1 centimeter. Most lymph nodes of PTC patients have metastasized to the central neck, and a few lymph nodes have metastasized to the latera...

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Autores principales: Jiang, Qin, Zhai, Mimi, Lin, Xiang, Ren, Chutong, Li, Yunxia, Ye, Fei, Gong, Yi, Liu, Sushun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9889854/
https://www.ncbi.nlm.nih.gov/pubmed/36743898
http://dx.doi.org/10.3389/fsurg.2022.1019846
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author Jiang, Qin
Zhai, Mimi
Lin, Xiang
Ren, Chutong
Li, Yunxia
Ye, Fei
Gong, Yi
Liu, Sushun
author_facet Jiang, Qin
Zhai, Mimi
Lin, Xiang
Ren, Chutong
Li, Yunxia
Ye, Fei
Gong, Yi
Liu, Sushun
author_sort Jiang, Qin
collection PubMed
description Papillary thyroid carcinoma (PTC) is the most common type of thyroid cancer. Papillary thyroid microcarcinoma (PTMC) is defined as PTC with a diameter less than 1 centimeter. Most lymph nodes of PTC patients have metastasized to the central neck, and a few lymph nodes have metastasized to the lateral neck. Skip lymph node metastasis, that is, lateral cervical lymph node metastasis without central lymph node metastasis, is even less common. Additionally, distant metastasis of PTMC is also rare, mainly occurring in the lung and bone. Here, we reported a case of PTMC patient with skip lymph node metastasis and multiple distant metastasis. The patient presented with a huge shoulder mass and the primary tumor was found to originate from the thyroid. However, the patient only suffered with PTMC via postoperative pathological results, and interestingly, the patient only had skip lymph node metastasis. Thus, we should focus on PTMC patients with lateral cervical lymph nodes metastasis, especially those with skip metastasis. In addition, this case provides a new perspective for us to understand of skip lymph metastasis and distant metastasis of PTMC.
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spelling pubmed-98898542023-02-02 Case Report: A papillary thyroid microcarcinoma patient with skip lymph node metastasis and multiple distant metastasis Jiang, Qin Zhai, Mimi Lin, Xiang Ren, Chutong Li, Yunxia Ye, Fei Gong, Yi Liu, Sushun Front Surg Surgery Papillary thyroid carcinoma (PTC) is the most common type of thyroid cancer. Papillary thyroid microcarcinoma (PTMC) is defined as PTC with a diameter less than 1 centimeter. Most lymph nodes of PTC patients have metastasized to the central neck, and a few lymph nodes have metastasized to the lateral neck. Skip lymph node metastasis, that is, lateral cervical lymph node metastasis without central lymph node metastasis, is even less common. Additionally, distant metastasis of PTMC is also rare, mainly occurring in the lung and bone. Here, we reported a case of PTMC patient with skip lymph node metastasis and multiple distant metastasis. The patient presented with a huge shoulder mass and the primary tumor was found to originate from the thyroid. However, the patient only suffered with PTMC via postoperative pathological results, and interestingly, the patient only had skip lymph node metastasis. Thus, we should focus on PTMC patients with lateral cervical lymph nodes metastasis, especially those with skip metastasis. In addition, this case provides a new perspective for us to understand of skip lymph metastasis and distant metastasis of PTMC. Frontiers Media S.A. 2023-01-18 /pmc/articles/PMC9889854/ /pubmed/36743898 http://dx.doi.org/10.3389/fsurg.2022.1019846 Text en © 2023 Jiang, Zhai, Lin, Ren, Li, Ye, Gong and Liu. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Surgery
Jiang, Qin
Zhai, Mimi
Lin, Xiang
Ren, Chutong
Li, Yunxia
Ye, Fei
Gong, Yi
Liu, Sushun
Case Report: A papillary thyroid microcarcinoma patient with skip lymph node metastasis and multiple distant metastasis
title Case Report: A papillary thyroid microcarcinoma patient with skip lymph node metastasis and multiple distant metastasis
title_full Case Report: A papillary thyroid microcarcinoma patient with skip lymph node metastasis and multiple distant metastasis
title_fullStr Case Report: A papillary thyroid microcarcinoma patient with skip lymph node metastasis and multiple distant metastasis
title_full_unstemmed Case Report: A papillary thyroid microcarcinoma patient with skip lymph node metastasis and multiple distant metastasis
title_short Case Report: A papillary thyroid microcarcinoma patient with skip lymph node metastasis and multiple distant metastasis
title_sort case report: a papillary thyroid microcarcinoma patient with skip lymph node metastasis and multiple distant metastasis
topic Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9889854/
https://www.ncbi.nlm.nih.gov/pubmed/36743898
http://dx.doi.org/10.3389/fsurg.2022.1019846
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