Tiroid Papiller Mikrokarsinomun Soliter Kistik Metastazı: 2 Olgunun Sunumu
Öz
Genç erişkinlerde, soliter kistik lateral boyun kitlelerinin en sık sebebi brankiyal kleft kistleridir. Sık görülmese de boyun lateralindeki soliter kistik kitleler, okült tiroid karsinomların başlangıç semptomu olabilir1. Nadir görülen bu durum birçok olguda tiroid bezindeki primer lezyonun metastatik odağı şeklinde görülürken, bazı olgularda, özellikle de tiroid bezinde primer odak gösterilemediğinde, brankiyal kist içerisindeki ektopik tiroid dokusundan kaynaklanabilirler. Bu çalışmada okült tiroid papiller karsinom metastazına bağlı, soliter kistik lateral boyun kitlesi olan iki olgu sunuldu.
Anahtar Kelimeler
References
- 1. Coleman SC, Smith JC, Burkey BB, Day TA, Page RN, Netterville JL. Long-standing lateral neck mass as the initial manifestation of well-differentiated thyroid carcinoma. Laryngoscope. 2000;110:204-209.
- 2. Golledge J, Ellis H. The aetiology of lateral cervical (branchial) cysts: past and present theories. J Laryngol Otol. 1994;108:653-659.
- 3. González-García R, Román-Romero L, Sastre-Pérez J, Rodríguez-Campo FJ, Naval-Gías L. Solitary cystic lymph neck node metastasis of occult thyroid papillary carcinoma. Med Oral Patol Oral Cir Bucal. 2008;13:E796-799.
- 4. Gourin CG, Johnson JT. Incidence of unsuspected metastases in lateral cervical cysts. Laryngoscope 2000;110:1637–1641.
- 5. Matsumoto K, Watanabe Y, Asano G. Thyroid papillary carcinoma arising in ectopic thyroid tissue within a branchial cleft cyst. Pathol Int. 1999;49:444- 446.
- 6. Ostrosky A, Mareso EA, Klurfan FJ, Gonzalez MJ. Mandibular metastasis of follicular thyroid carcinoma. Case report. Med Oral. 2003;8:224-227.
- 7. Parham DM. Laterally situated neck cysts derived from the embryological remnants of thyroid development. Histopathology. 1988;12:95-98.
- 8. Pérez JS, Muñoz M, Naval L, Blasco A, Diaz FJ. Papillary carcinoma arising in lingual thyroid. J Craniomaxillofac Surg. 2003;31:179-182.
- 9. Roth LM. Inclusions of non–neoplastic thyroid tissue within cervical lymph nodes. Cancer. 1965;18:105- 111.
- 10. Seven H, Gurkan A, Cinar U, Vural C, Turgut S. Incidence of occult thyroid carcinoma metastases in lateral cervical cysts. Am J Otolaryngol. 2004;25:11- 17.
