About this Medicine article

Parapharyngeal lymph node metastasis: An unusual presentation of papillary thyroid carcinoma by Davide Lombardi; Piero Nicolai; Antonino R. Antonelli; Roberto Maroldi; Davide Farina; Ashok R. Shaha is a Medicine article available to read on EtoBox.

## Abstract ## Background. Parapharyngeal space nodal metastases are usually secondary to malignancies of the pharynx and sinonasal tract, although localization of lymphomas is also possible. Parapharyngeal metastases arising from thyroid papillary carcinoma are instead an exceedingly rare event, with only 10 cases reported up to now in the literature. ## Methods. We describe two cases of parapharyngeal metastasis from thyroid papillary carcinoma in a man and a woman, aged 40 and 52 years, respectively. ## Results. Both patients had a lesion that clinically appeared to be located in the parapharyngeal space; they underwent CT and MRI, which detected a cystic mass in the poststyloid compartment. In the first patient, fine‐needle aspiration cytology failed in identifying the histologic nature of the lesion, which was excised through a transcervical approach. A diagnosis of metastatic thyroid papillary carcinoma was rendered and therefore the patient underwent total thyroidectomy. In the second patient, a total thyroidectomy, previously scheduled for multinodular goiter, was performed along with the removal of the parapharyngeal mass. Definitive histologic findings revealed that the t

Author

Davide Lombardi; Piero Nicolai; Antonino R. Antonelli; Roberto Maroldi; Davide Farina; Ashok R. Shaha

Publisher

John Wiley and Sons; Wiley (John Wiley & Sons); John Wiley & Sons Inc.; Wiley; Research Square (ISSN 1043-3074)

Published

2003

Language

EN

Field

Medicine (Health Sciences)