Korean Journal of Head & Neck Oncology (대한두경부종양학회지)

The Korean Society for Head and Neck Oncology (대한두경부종양학회)
권호 표지

Papillary Thyroid Microcarcinoma Presenting as Neck Masses

경부 종물로 발현된 유두 미세 갑상선암

  • Kim Young-Mo (Department of Otorhinolaryngology-Head & Neck Surgery, Inha University College of Medicine) ;
  • Park Sun-Ki (Department of Otorhinolaryngology-Head & Neck Surgery, Inha University College of Medicine) ;
  • Shin Jun-Sun (Department of Otorhinolaryngology-Head & Neck Surgery, Inha University College of Medicine) ;
  • Jeon Yong-Sun (Department of Otorhinolaryngology-Head & Neck Surgery, Inha University College of Medicine) ;
  • Han Chang-Jun (Department of Otorhinolaryngology-Head & Neck Surgery, Kon-Kuk University College of Medicine) ;
  • Cho Jung-Il (Department of Otorhinolaryngology-Head & Neck Surgery, Inha University College of Medicine)
  • 김영모 (인하대학교 의과대학 이비인후-두경부외과학교실) ;
  • 박선기 (인하대학교 의과대학 이비인후-두경부외과학교실) ;
  • 신준순 (인하대학교 의과대학 이비인후-두경부외과학교실) ;
  • 전용선 (인하대학교 의과대학 이비인후-두경부외과학교실) ;
  • 한창준 (건국대학교 의과대학 이비인후-두경부외과학교실) ;
  • 조정일 (인하대학교 의과대학 이비인후-두경부외과학교실)
  • Published : 2002.05.01
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Abstract

Background and Objectives: Recently the tenn 'papillary microcarcinoma' has been proposed to designate carcinoma of 10 mm or less in diameter. In some cases, cervical lymph node metastasis preceding the occurrence of the primary tumor may be the first and sole manifestation of the disease. The objective of this study is to assess the clinical features of cervical metastasis in papillary microcarcinoma of thyroid glands. Materials and Methods: 9 cases with papillary microcarcinoma with neck metastasis were analyzed retrospectively. 5 cases are men and 4 are women. All patients complained of painless, movable neck mass. The symptom had been present from 1 month to 36 months. We reviewed clinical history, imaging studies, the results of fine needle aspiration, the surgical method, the pathologic results. Results: In 9 cases, no abnormalities of the thyroid gland were shown by imaging studies and thyroid scan. 3 cases were diagnosed by fine needle aspiration cytology. the others were not. Total thyroidectomy and neck dissection were performed in 9 cases and then pathology reports showed 2 case of multiple, 2 case of contralateral single and 5 cases of unilateral single thyroid microcarcinoma. They have no recurrence during follow-up period. Conclusions: Cervical metastasis from papillary microcarcinoma is variable clinical manifestation. The diagnosis of cervical metastasis from papillary microcarcinoma should be considered in patient with neck mass. We recommend total thyroidectomy with neck dissection and postoperative radioactive iodine ablation therapy in neck metastasis from papillary thyroid microcarcinoma.

Keywords

References

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