Browse > Article

Thyroid Papillary Carcinoma Presenting as Posterior Pharyngeal Mass : A Case Report  

Kang, Jae-Ho (Department of Otolaryngology-Head and Neck Surgery, Seoul Veterans Hospital)
Yang, Si-Chang (Ivy ENT Clinic)
Kim, Choon-Dong (Department of Otolaryngology-Head and Neck Surgery, Seoul Veterans Hospital)
Kim, Seung-Woo (Department of Otolaryngology-Head and Neck Surgery, Seoul Veterans Hospital)
Publication Information
Korean Journal of Head & Neck Oncology / v.26, no.2, 2010 , pp. 221-224 More about this Journal
Abstract
Papillary thyroid carcinoma frequently invades the lymph node, trachea, esophagus and perithyroid tissue. However, direct extension to posterior pharyngeal area is known to be rare. A 64-year-old male was referred to our clinic presenting as posterior pharyngeal mass during gastrofiberscopy. The neck CT scan showed soft tissue mass in retropharynx and lymph node in right level III with calcifications. We performed the total thyroidectomy with selective(level II, III, IV) and anterior compartment neck dissection. In operative findings, the right thyroid mass were connected to the retropharynx through the posterior portion of inferior constrictor muscle. Histopathologic findings revealed the papillary thyroid carcinoma extended to retropharynx. We report a unique case with a literature review.
Keywords
Thyroid neoplasms; Papillary carcinoma; Posterior pharyngeal neoplasm;
Citations & Related Records
Times Cited By KSCI : 2  (Citation Analysis)
연도 인용수 순위
1 Hughes CJ, Shaha AR, Shah JP, Loree TR. Impact of lymph node metastasis in differentiated carcinoma of the thyroid: A matchedpair analysis. Head Neck. 1996;18(2):127-132.   DOI   ScienceOn
2 Kupferman ME, Patterson M, Mandel SJ, LiVolsi V, Weber RS. Patterns of lateral neck metastasis in papillary thyroid carcinoma. Arch Otolaryngol Head Neck Surg.2004;130(7):857-860.   DOI   ScienceOn
3 King AD, Ahuja AT, To EW, Tse GM, Metreweli C. Staging papillary carcinoma of the thyroid: Magnetic resonance imaging vs ultrasound of the neck. Clin Radiol. 2000;55(3):222-226.   DOI   ScienceOn
4 Shaha AR. Management of the neck in thyroid cancer. Otolaryngol Clin North Am. 1998;31(5):823-831.   DOI   ScienceOn
5 Lombardi D, Nicolai P, Antonelli AR, Maroldi R, Farina D, Shaha AR. Parapharyngeal lymph node metastasis: An unusual presentation ofpapillary thyroid carcinoma. Head Neck. 2004;26(2): 190-196.   DOI   ScienceOn
6 Caron NR, Clark OH. Papillary thyroid cancer: surgical management of lymph node metastases. Curr Treat Options Oncol. 2005;6(4):311-332.   DOI   ScienceOn
7 Lee JK, Lim SC. A Case of Parapharyngeal Metastasis from Papillary Thyroid Carcinoma. Korean J Otolaryngol-Head and Neck Surg. 2005;48:807-809.
8 Rouviere H. Anatomy of the human lymphatic system. Ann Arbor, Michigan: Edwards Brothers;1938. p.5-65.
9 Som PM, Brandwein M, Lidov M, Lawson W, Biller HF. The varied presentations of papillary thyroid carcinoma cervical nodal disease: CT and MR findings. AJNR Am J Neuroradiol. 1994;15 (6):1123-1128.
10 Som PM. Detection of metastasis in cervical lymph nodes: CT and MR criteria and differential diagnosis. AJR Am J Roentgenol. 1992;158(5):961-969.   DOI   ScienceOn
11 Park YM, Hong HJ, Yang WS, Choi EC. Retropharyngeal Lymph Node Metastasis of Thyroid Papillary Carcinoma. Korean J Otolaryngol- Head Neck Sur.g 2009;52:88-92.   DOI
12 McConahey WM, Hay ID, Woolner LB, van Heerden JA, Taylor WF. Papillary thyroid cancer treated at the Mayo Clinic, 1946 through 1970: Initial manifestations, pathologic findings, therapy and outcome. Mayo Clin Proc. 1986:978-996.