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Incidental metastatic papillary thyroid carcinoma in microvascular reconstruction.

Publication ,  Journal Article
Moore, BA; Duncan, IM; Burkey, BB; Day, T
Published in: Laryngoscope
December 2002

OBJECTIVES/HYPOTHESIS: Occult papillary thyroid carcinoma has a reported prevalence of 1% to 35% based on autopsy studies. Cervical lymphatic metastases from papillary thyroid carcinoma have been associated with a higher likelihood of recurrence with a questionable impact on survival. Without clinically evident disease in the thyroid or cervical nodes, management of these patients presents a treatment dilemma. We propose an individualized treatment plan for patients in whom metastatic papillary thyroid carcinoma is incidentally detected during neck exploration for other purposes. STUDY DESIGN: Retrospective review and discussion of the literature. METHODS: The clinical course of two patients with incidentally discovered metastatic papillary thyroid carcinoma to the cervical lymph nodes is described. Both patients had previously received head and neck irradiation in childhood and required free flap reconstruction of extensive skull base defects following extirpation of meningiomas. RESULTS: Neck dissection specimens from levels I and II obtained during exposure of recipient vessels for microvascular tissue transfer revealed papillary thyroid carcinoma in both cases. The patients subsequently underwent total thyroidectomy, neck dissection, and postoperative radioactive iodine ablation of residual thyroid tissue. After 1 year of follow-up, both patients were without evidence of recurrent disease. CONCLUSIONS: An individualized approach is justified to treat metastatic papillary thyroid carcinoma incidentally discovered during other procedures. The case reports underscore the importance of pathological analysis of surgical specimens obtained during head and neck reconstruction.

Duke Scholars

Published In

Laryngoscope

DOI

ISSN

0023-852X

Publication Date

December 2002

Volume

112

Issue

12

Start / End Page

2170 / 2177

Location

United States

Related Subject Headings

  • Time Factors
  • Thyroid Neoplasms
  • Surgical Flaps
  • Retrospective Studies
  • Plastic Surgery Procedures
  • Otorhinolaryngology
  • Neck Dissection
  • Middle Aged
  • Male
  • Lymphatic Metastasis
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Moore, B. A., Duncan, I. M., Burkey, B. B., & Day, T. (2002). Incidental metastatic papillary thyroid carcinoma in microvascular reconstruction. Laryngoscope, 112(12), 2170–2177. https://doi.org/10.1097/00005537-200212000-00008
Moore, Brian A., Irenee M. Duncan, Brian B. Burkey, and Terry Day. “Incidental metastatic papillary thyroid carcinoma in microvascular reconstruction.Laryngoscope 112, no. 12 (December 2002): 2170–77. https://doi.org/10.1097/00005537-200212000-00008.
Moore BA, Duncan IM, Burkey BB, Day T. Incidental metastatic papillary thyroid carcinoma in microvascular reconstruction. Laryngoscope. 2002 Dec;112(12):2170–7.
Moore, Brian A., et al. “Incidental metastatic papillary thyroid carcinoma in microvascular reconstruction.Laryngoscope, vol. 112, no. 12, Dec. 2002, pp. 2170–77. Pubmed, doi:10.1097/00005537-200212000-00008.
Moore BA, Duncan IM, Burkey BB, Day T. Incidental metastatic papillary thyroid carcinoma in microvascular reconstruction. Laryngoscope. 2002 Dec;112(12):2170–2177.
Journal cover image

Published In

Laryngoscope

DOI

ISSN

0023-852X

Publication Date

December 2002

Volume

112

Issue

12

Start / End Page

2170 / 2177

Location

United States

Related Subject Headings

  • Time Factors
  • Thyroid Neoplasms
  • Surgical Flaps
  • Retrospective Studies
  • Plastic Surgery Procedures
  • Otorhinolaryngology
  • Neck Dissection
  • Middle Aged
  • Male
  • Lymphatic Metastasis