Department of Otolaryngology Head and Neck Surgery, İstanbul Education and Research Hospital, İstanbul, Turkey.
Department of Otolaryngology Head and Neck Surgery, MediEnt Hospital, İstanbul, Turkey.
Balkan Med J. 2014 Jun;31(2):177-9. doi: 10.5152/balkanmedj.2014.13003. Epub 2014 Jun 1.
Carcinoma of the thyroid gland is one of the most commonly encountered endocrine malignancies. Papillary carcinoma is the most common histological type, and its spread is usually lymphatic. About 30-80% patients with papillary carcinoma develop lymphatic metastases.
We present here the case of a 70-year-old female patient who had undergone total thyroidectomy 10 years previously, with a histological diagnosis of papillary thyroid carcinoma. A neck dissection was performed ten years after the primary operation due to a mass in the parapharyngeal space and hypopharynx. The mass was diagnosed histologically as papillary thyroid cancer metastasis after the operation.
Lymphatic and vascular metastases of papillary thyroid carcinoma separately to the parapharyngeal space and hypopharynx have rarely been reported. In our case, both hypopharyngeal and parapharyngeal space involvement were presented, which is a very rare condition.
甲状腺癌是最常见的内分泌恶性肿瘤之一。乳头状癌是最常见的组织学类型，其扩散通常是淋巴性的。约 30-80%的乳头状癌患者发生淋巴转移。
我们在此报告一例 70 岁女性患者，10 年前曾行甲状腺全切除术，组织学诊断为甲状腺乳头状癌。由于咽旁间隙和下咽有肿块，在初次手术后 10 年进行了颈部清扫术。术后肿块被诊断为甲状腺乳头状癌转移。
甲状腺乳头状癌的淋巴和血管转移分别到咽旁间隙和下咽很少有报道。在我们的病例中，同时出现了下咽和咽旁间隙的受累，这是一种非常罕见的情况。
