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Solitary Cystic Metastasis Of Thyroid Papillary Carcinoma: Two Cases Reports

Year 2011, Year: 2011 Volume: 36 Number: 1, 29 - 33, 01.03.2011

Abstract

The appearance of a solitary lateral cervical cystic mass as the only initial presenting symptom of occult thyroid carcinoma is uncommon. Its presence is often related with the more frequently branchial cyst in young adults, but also rarely related with thyroid carcinomas. In most of these cases all such lesions may initially be considered as metastatic foci from a primary thyroid lesion. However, an alternative explanation by means of which ectopic thyroid tissue is associated with a branchial cyst has to be considered, especially if no primary tumour is observed in the histological examination of the thyroid gland. We present two case of solitary cystic lymph node metastasis of occult papillary carcinoma of the thyroid.

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.
  • 11. Sheahan P, O’leary G, Lee G, Fitzgibbon J. Cystic cervical metastases: incidence and diagnosis using fine needle aspiration biopsy. Otolaryngol Head Neck Surg. 2002;127:294-298.
  • 12. Sidhu S, Lioe TF, Clements B. Thyroid papillary carcinoma in lateral neck cyst: missed primary tumour or ectopic thyroid carcinoma within a branchial cyst. J Laryngol Otol. 2000;114:716-718.
  • 13. Verge J, Guixá J, Alejo M, Basas C, Quer X, De Castro J, et al. Cervical cystic lymph node metastasis as first manifestation of occult papillary thyroid carcinoma: report of seven cases. Head Neck. 1999;21:370-374.

Tiroid Papiller Mikrokarsinomun Soliter Kistik Metastazı: 2 Olgunun Sunumu

Year 2011, Year: 2011 Volume: 36 Number: 1, 29 - 33, 01.03.2011

Abstract

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.

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.
  • 11. Sheahan P, O’leary G, Lee G, Fitzgibbon J. Cystic cervical metastases: incidence and diagnosis using fine needle aspiration biopsy. Otolaryngol Head Neck Surg. 2002;127:294-298.
  • 12. Sidhu S, Lioe TF, Clements B. Thyroid papillary carcinoma in lateral neck cyst: missed primary tumour or ectopic thyroid carcinoma within a branchial cyst. J Laryngol Otol. 2000;114:716-718.
  • 13. Verge J, Guixá J, Alejo M, Basas C, Quer X, De Castro J, et al. Cervical cystic lymph node metastasis as first manifestation of occult papillary thyroid carcinoma: report of seven cases. Head Neck. 1999;21:370-374.
There are 13 citations in total.

Details

Primary Language Turkish
Journal Section Research
Authors

Özgür Tarkan This is me

Özgür Sürmelioğlu This is me

Ülkü Tuncer This is me

Ali Evlice This is me

Aysun Uğuz This is me

Kıvılcım Eren Ateş This is me

Publication Date March 1, 2011
Published in Issue Year 2011 Year: 2011 Volume: 36 Number: 1

Cite

MLA Tarkan, Özgür et al. “Tiroid Papiller Mikrokarsinomun Soliter Kistik Metastazı: 2 Olgunun Sunumu”. Cukurova Medical Journal, vol. 36, no. 1, 2011, pp. 29-33.