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15 March 2013

Metastatic papillary thyroid carcinoma with absence of tumor focus in thyroid gland

Anil SinghEF, Radu ButucF, Ricardo LopezF

DOI: 10.12659/AJCR.883834

Am J Case Rep 2013; 14:73-75

Abstract

Background: Papillary thyroid carcinoma presenting as isolated cervical lymphadenopathy with clinically and histologically normal thyroid gland is rarely reported.
Case Report: We report a case of 31 years old female who presented with a left cervical mass and clinically normal thyroid gland. After inconclusive FANC, excision biopsy of her cervical lymph nodes revealed metastatic papillary thyroid carcinoma. The patient subsequently underwent total thyroidectomy with bilateral lymph node dissection. Interestingly pathological examination showed no primary carcinoma in the gland. Postoperative radioactive iodine scan revealed no other metastasis.
Conclusions: Total thyroidectomy is the next best step despite clinically and radiologically normal appearing thyroid gland once cervical lymph nodes are proven to be metastatic in nature followed by a RAI therapy to treat occult foci of PTC.

Keywords: PTC, Metastatic thyroid cancer, papillary thyroid cancer, ultrasound, computed tomography (CT)

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923