Ning Yudong, Qin Sheng, Zeng Dingfen, Zhou Yuqiu, Ma Linjie, Jiang Man, Wang Shaoxin
Department of Head and Neck Surgery, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, School of Medicine, University of Electronic Science andand Technology of China, Chengdu, China.
Department of pathology, Sichuan Cancer Hospital and Institute, Sichuan Cancer Center, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China.
Ear Nose Throat J. 2025 Mar;104(1_suppl):238S-242S. doi: 10.1177/01455613221138214. Epub 2022 Nov 4.
Papillary thyroid carcinoma (PTC) is prone to regional lymph node metastasis, which is more common in central lymph nodes and lateral cervical lymph nodes, and retropharyngeal lymph node metastasis (RLNM) is extremely rare. A male with PTC presented with extensive cervical lymph node metastasis and the initial RLNM. After full evaluation by preoperative imaging examination, the patient underwent total thyroidectomy + left central lymph node dissection + left neck lymph node dissection (II III IV V) + left retropharyngeal tumor resection, and the postoperative recovery was good without recurrence long-term complications, and no local recurrence and metastasis were found during one-year follow-up.
甲状腺乳头状癌（PTC）易于发生区域淋巴结转移，在中央淋巴结和颈外侧淋巴结中更为常见，而咽后淋巴结转移（RLNM）极为罕见。一名患有PTC的男性出现广泛的颈部淋巴结转移及初始咽后淋巴结转移。经术前影像学检查全面评估后，该患者接受了全甲状腺切除术 + 左侧中央淋巴结清扫术 + 左侧颈部淋巴结清扫术（II、III、IV、V区）+ 左侧咽后肿瘤切除术，术后恢复良好，无长期并发症复发，在一年的随访期间未发现局部复发和转移。
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