TY - JOUR
T1 - Axillary lymph nodes metastasis in a patient with recurrent papillary thyroid cancer
T2 - a case report
AU - Hafez, Mohamed T
AU - Refky, Basel
AU - Elwahab, Khaled Abd
AU - Arafa, Mohammad
AU - Abdou, Islam
AU - Elnahas, Waleed
N1 - Publisher Copyright:
© 2015 Hafez et al.
PY - 2015/8/26
Y1 - 2015/8/26
N2 - INTRODUCTION: Thyroid cancer is the most common endocrine malignancy; the most common type of thyroid cancer is papillary thyroid cancer which accounts for approximately 90% of all thyroid cancers. Previously defined prognostic factors of papillary thyroid cancer include age, gender, tumor size, extrathyroidal extension, and distant metastasis. Cervical lymph node metastases are very common in patients with papillary thyroid cancer. Although papillary thyroid cancer has an excellent prognosis, lymphatic spread is associated with an increased risk of locoregional recurrence. Axillary metastasis is not a common finding in the classic type of papillary carcinoma; hence, a limited number of case reports have described the exceptional and rare metastatic spread of papillary thyroid carcinomas to the axilla.CASE PRESENTATION: We report a case of metastatic axillary lymphadenopathy in a 61-year-old Egyptian man with a recurrent papillary thyroid cancer. He had a history of total thyroidectomy with right radical neck dissection 18 months ago. He presented to our cancer clinic at the Oncology Centre -Mansoura University with recurrent mass at the right lower parotid region, left cervical lymphadenopathy and left axillary lymphadenopathy. Removal of the recurrent right intraparotid mass, left comprehensive neck dissection and left axillary dissection were performed and the postoperative pathology report showed infiltration of the cervical and axillary lymph nodes by metastatic papillary thyroid cancer.CONCLUSIONS: Axillary lymph node enlargement in a patient with papillary thyroid cancer should be considered metastatic from thyroid until proved otherwise. Careful thorough examination of patients with recurrent thyroid cancer is essential to address any unusual metastasis.
AB - INTRODUCTION: Thyroid cancer is the most common endocrine malignancy; the most common type of thyroid cancer is papillary thyroid cancer which accounts for approximately 90% of all thyroid cancers. Previously defined prognostic factors of papillary thyroid cancer include age, gender, tumor size, extrathyroidal extension, and distant metastasis. Cervical lymph node metastases are very common in patients with papillary thyroid cancer. Although papillary thyroid cancer has an excellent prognosis, lymphatic spread is associated with an increased risk of locoregional recurrence. Axillary metastasis is not a common finding in the classic type of papillary carcinoma; hence, a limited number of case reports have described the exceptional and rare metastatic spread of papillary thyroid carcinomas to the axilla.CASE PRESENTATION: We report a case of metastatic axillary lymphadenopathy in a 61-year-old Egyptian man with a recurrent papillary thyroid cancer. He had a history of total thyroidectomy with right radical neck dissection 18 months ago. He presented to our cancer clinic at the Oncology Centre -Mansoura University with recurrent mass at the right lower parotid region, left cervical lymphadenopathy and left axillary lymphadenopathy. Removal of the recurrent right intraparotid mass, left comprehensive neck dissection and left axillary dissection were performed and the postoperative pathology report showed infiltration of the cervical and axillary lymph nodes by metastatic papillary thyroid cancer.CONCLUSIONS: Axillary lymph node enlargement in a patient with papillary thyroid cancer should be considered metastatic from thyroid until proved otherwise. Careful thorough examination of patients with recurrent thyroid cancer is essential to address any unusual metastasis.
KW - Axilla
KW - Carcinoma/complications
KW - Carcinoma, Papillary
KW - Humans
KW - Lymph Nodes/diagnostic imaging
KW - Lymphatic Metastasis
KW - Male
KW - Middle Aged
KW - Neoplasm Recurrence, Local/complications
KW - Thyroid Cancer, Papillary
KW - Thyroid Neoplasms/complications
KW - Tomography, X-Ray Computed
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U2 - 10.1186/s13256-015-0668-7
DO - 10.1186/s13256-015-0668-7
M3 - Article
C2 - 26307101
SN - 1752-1947
VL - 9
SP - 181
JO - Journal of Medical Case Reports
JF - Journal of Medical Case Reports
IS - 1
M1 - 181
ER -