[Giant metastasis of thyroid papillar carcinoma].

Abstract

O carcinoma papilifero da tireoide, o mais comum deste orgao, geralmente se apresenta como lesoes parenquimatosas pequenas e, eventualmente, com metastases cervicais numerosas, raramente volumosas. E descrito um caso raro de uma paciente do genero feminino, 44 anos, com um tumor cervical anterior, nodular e volumoso ha nove anos. Apos o tratamento cirurgico, o anatomopatologico mostrou tratar-se de metastases linfonodais de carcinoma papilifero. O objetivo deste estudo e relatar um caso clinico de apresentacao incomum de carcinoma papilifero da tireoide, de diagnostico inicial dificil e apresentando-se com metastases linfonodais volumosas. Arq Bras Endocrinol Metab. 2014;58(9):967-9 Papillary thyroid carcinoma, the most common type of thyroid cancer is usually presented as small parenchymatous lesions and, eventually, with cervical lymph node metastasis, rarely voluminous. Here we describe a rare case of a 44-year-old woman presenting a visible anterior cervical tumor, nodullary and voluminous, for nine years. After surgical treatment, the anatomical pathology sample revealed that the mass was composed of several cervical lymph node metastatic lesions of a papillary thyroid carcinoma. We report the discovery of an uncommon papillary thyroid carcinoma manifestation, with a difficult initial diagnosis and presenting voluminous lymph node metastases.