Review of retropharyngeal and parapharyngeal nodal metastasis of papillary thyroid carcinoma

IF 1.8 4区医学 Q2 OTORHINOLARYNGOLOGY

American Journal of Otolaryngology Pub Date : 2024-07-24 DOI:10.1016/j.amjoto.2024.104438

Lauren K. Dietz , Mac Kenzie J. Reece , Sameep Kadakia

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引用次数: 0

Abstract

Background

Papillary thyroid carcinoma (PTC) is the most common type of thyroid cancer. In rare instances, PTC has metastasized to the retropharyngeal and parapharyngeal nodes. This is hypothesized to occur due to an aberrant lymphatic channel or via retrograde lymphatic flow following previous neck dissection. Methods: A literature search was conducted with keywords “parapharyngeal,” “retropharyngeal,” and “papillary thyroid carcinoma.” Results: 46 articles were identified for a total of 135 cases. The most common presenting symptom was lymphadenopathy followed by pharyngeal mass and dyspnea. 38.03 % of patients were asymptomatic. Of cases including initial treatment history, 94.44 % had a history of neck dissection. The transcervical approach was the most utilized to resect the tumors, although in recent years trans-oral robotic surgery (TORS) has also been used.

Conclusion

PTC metastatic to the retropharyngeal and parapharyngeal nodes is a rare occurrence that can be difficult to diagnose due its indolent nature.

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甲状腺乳头状癌咽后和咽旁结节转移回顾

背景甲状腺乳头状癌（PTC）是最常见的甲状腺癌类型。在极少数情况下，PTC 会转移到咽后和咽旁结节。据推测，这可能是由于淋巴通道异常或先前颈部切除术后淋巴逆流所致。研究方法以 "咽旁"、"咽后 "和 "甲状腺乳头状癌 "为关键词进行文献检索。结果共发现46篇文章，涉及135个病例。最常见的症状是淋巴结肿大，其次是咽部肿块和呼吸困难。38.03%的患者无症状。在包含初始治疗史的病例中，94.44%的患者有颈部切除史。尽管近年来也使用了经口机器人手术（TORS），但经颈部手术是切除肿瘤的最常用方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American Journal of Otolaryngology 医学-耳鼻喉科学

CiteScore

4.40

自引率

4.00%

发文量

378

审稿时长

41 days

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