Significance and management of thyroid lesions in lymph nodes as an incidental finding during neck dissection

Head and Neck - Tập 23 Số 10 - Trang 885-891 - 2001
Lawrence J. Fliegelman1, Eric M. Genden1, Margaret Brandwein1,2, Jeffrey I. Mechanick3, Mark L. Urken1
1Department of Otolaryngology-Head and Neck Surgery, Mount Sinai School of Medicine, Box 1189, One Gustave L. Levy Place, New York, New York 10029
2Department of Pathology, Mount Sinai School of Medicine, New York, New York
3Department of Endocrinology, Mount Sinai School of Medicine, New York, New York

Tóm tắt

AbstractBackgroundThe incidental discovery of thyroid lesions in lymph nodes during a lymph node dissection performed for a separate primary head and neck tumor is an unusual clinical entity. Its discovery has led to controversy regarding its significance and management.MethodsWe identified five patients over the years 1991–1999 with this finding. All five patients were subsequently treated with a total thyroidectomy and a level VI lymph node dissection.ResultsPathological examination revealed three papillary carcinomas and level VI lymph node metastases in the two patients who had carcinoma in their thyroid glands. All five patients are presently free of their primary and thyroid disease on follow‐up examinations.ConclusionsThese patients should be addressed with additional work‐up and surgery if metastatic thyroid cancer is documented in the lymph node. We offer a diagnostic algorithm that may aid in further work‐up and treatment in these unusual cases. © 2001 John Wiley & Sons, Inc. Head Neck 23: 885–891, 2001.

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Head and Neck

Tập 23 Số 10

885-891

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