Simion Nicolae Irinel, Muntean Valentin
General Surgery Department, Riviera Hospital, Montreux, Switzerland.
BMJ Case Rep. 2012 May 8;2012:bcr0120125603. doi: 10.1136/bcr.01.2012.5603.
Papillary thyroid carcinoma frequently metastasises to the regional neck lymph nodes. However, cervical lymph node metastases as sole manifestation of occult papillary thyroid carcinoma are observed rarely. The authors report the case of a 52-year-old man presenting for slowly enlarging neck region and shortness of breath, with an insidious history for 15 years. Thyroid imaging showed a goitre predominantly of the right lobe, but histopathological finding revealed a multi-centric thyroid papillary carcinoma with lymph node metastasis.
甲状腺乳头状癌常转移至颈部区域淋巴结。然而，隐匿性甲状腺乳头状癌仅以颈部淋巴结转移为唯一表现的情况很少见。作者报告了一例52岁男性患者，因颈部缓慢肿大及呼吸急促前来就诊，病史隐匿达15年。甲状腺影像学检查显示主要为右叶甲状腺肿，但组织病理学检查发现为多中心性甲状腺乳头状癌伴淋巴结转移。
