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Incidental nodal metastasis of differentiated thyroid carcinoma in neck dissection specimens from head and neck cancer patients

Published online by Cambridge University Press:  28 February 2017

R Lenzi ,
M Marchetti  and
L Muscatello
R Lenzi*
Affiliation:
Division of Otorhinolaryngology, Azienda USL Toscana Nord Ovest, Ospedale delle Apuane, Massa, Italy
M Marchetti
Affiliation:
Division of Otorhinolaryngology, Azienda USL Toscana Nord Ovest, Ospedale delle Apuane, Massa, Italy
L Muscatello
Affiliation:
Division of Otorhinolaryngology, Azienda USL Toscana Nord Ovest, Ospedale delle Apuane, Massa, Italy
*
Address for correspondence: Dr R Lenzi, Division of Otorhinolaryngology, Azienda USL Toscana Nord Ovest, Ospedale delle Apuane, Via Enrico Mattei, 21, 54100 Massa, Italy Fax: +39 0585 498269 E-mail: riclenzi@gmail.com
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Abstract

Background:

Occult differentiated thyroid carcinomas are not uncommon. The initial presentation of a thyroid carcinoma is often detection of a metastatic cervical lymph node.

Methods:

A retrospective review was performed of the medical records of 304 patients who underwent neck dissection between 1996 and 2008 for squamous cell carcinoma of the head and neck.

Results:

Ten patients (3.3 per cent) had nodal metastasis originating from papillary thyroid cancer. All of these patients underwent thyroidectomy and post-operative 131iodine radiometabolic therapy. No patient developed a thyroid tumour after surgery.

Conclusion:

Despite its metastatic spread, thyroid cancer does not affect the overall prognosis of patients who are already being treated for a more aggressive malignancy. However, in otherwise healthy patients, it is worth treating this second malignancy to avoid potential complications related to local disease or metastatic thyroid cancer.

Keywords

Head and Neck NeoplasmsIncidental FindingsNeck DissectionThyroid NeoplasmsThyroidectomy
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 131 , Issue 4 , April 2017 , pp. 368 - 371
Copyright
Copyright © JLO (1984) Limited 2017 

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