Hypopharyngeal and Parapharyngeal Space Metastasis of Papillary Thyroid Carcinoma: A Case Report

Year 2014, Volume: 2014 Issue: 2, 177 - 179, 07.08.2014

Aysegul Batıoğlu Karaaltın Elad Azizli İlker Ersözlü Özgür Yiğit Harun Cansız

https://doi.org/10.5152/balkanmedj.2014.13003

Abstract

Background: Carcinoma of the thyroid gland is one of the most commonly encountered endocrine malignancies. Papillary carcinoma is the most common histological type, and its spread is usually lymphatic. About 30-80% patients with papillary carcinoma develop lymphatic metastases. Case Report: We present here the case of a 70-year-old female patient who had undergone total thyroidectomy 10 years previously, with a histological diagnosis of papillary thyroid carcinoma. A neck dissection was performed ten years after the primary operation due to a mass in the parapharyngeal space and hypopharynx. The mass was diagnosed histologically as papillary thyroid cancer metastasis after the operation. Conclusion: Lymphatic and vascular metastases of papillary thyroid carcinoma separately to the parapharyngeal space and hypopharynx have rarely been reported. In our case, both hypopharyngeal and parapharyngeal space involvement were presented, which is a very rare condition.

Keywords

Hypopharynx, metastasis, parapharyngeal space, thyroid carcinoma

Hypopharyngeal and Parapharyngeal Space Metastasis of Papillary Thyroid Carcinoma: A Case Report

Abstract

References

• Kebebew E, Clark OH. Differentiated thyroid cancer: “complete” ratio- nal approach. World J Surg 2000;24:942-51. [CrossRef]
• Cotran RD, Kumar V, Collins T. Robbins pathological basis of disease. Philadelphia: WB Saunders Company; 1999:1143-4.
• Shaha AR, Shah JP, Loree TR. Patterns of nodal and distant metastasis based on histologic varieties in differentiated carcinoma of the thyroid. Am J Surg 1996;172:692-4. [CrossRef]
• McCaffrey TV, Bergstralh EJ, Hay ID. Locally invasive papillarythyroid carcinoma. Head Neck 1994;16:165-72. [CrossRef]
• Cooney BS, Levine MS, Schnall MD. Metastatic thyroid carcinoma pre- senting as an expansile intraluminal esophageal mass. Abdom Imaging 1995;20:20-2. [CrossRef]
• Ferrario F, Roselli R, Machhi A. Occult thyroid carcinoma presenting as a parapharyngeal mass. J Laryngol Otol 1995;109:1204-6. [CrossRef]
• Pearlman SJ, Lawson W, Biller HF. Occult medullary carcinoma of the thyroid presenting as neck and parapharyngeal metastases. Otolaryngol Head Neck Surg 1988;99:509-12.
• Varghese B, Mathews A, Pandey M, Pradeep VM. Unusual metastasis of papillary thyroid carcinoma to larynx and hypopharynx a case report. World J Surg Oncol 2003;1:7. [CrossRef]
• Hakeem AH, Pradhan SA, Bhele S, Tubachi J. Metastasis of papillary thyroid cancer to the larynx and pharynx: unusual case report. Eur Arch Otorhinolaryngol 2012; 269:2585-7. [CrossRef]
• Rouviere H. Anatomy of the human lymphatic system. In: Tobias, MJ, editor. Anatomy of the human lymphaticsystem. Michigan: Edward Bros; 1938.
• Wang XL, Xu ZG, Wu YH, Liu SY, Yu Y. Surgical management of para- pharyngeal lymph node metastasis of thryoid carcinoma: a retrospective study of 25 patients. Chin Med J (Engl) 2012;125:3635-9.
• Desuter G, Lonneux M, Plouin-gaudon I, Jamar F, Coche E, Weynand B. Parapharyngeal metastases from thyroid cancer. Eur J Surg Oncol 2004;30:80-4. [CrossRef]
• Filho FDR, Lima GG, Ferreria FVA, Lima MG, Hissa MN. Orbital me- tastasis as primary clinical manisfestation of thyroid carcinoma-case report and literature review. Arq Bras Endocrinol Metabol 2008;52:1497-500.