Unusual locations for differentiated thyroid cancer nodal metastasis

Rohit Ranganath; Vaninder K. Dhillon; Mohammad Shaear; Lisa Rooper; Jonathon O. Russell; Ralph P. Tufano

World Journal of Otorhinolaryngology-Head and Neck Surgery (Sep 2020)

Unusual locations for differentiated thyroid cancer nodal metastasis

Rohit Ranganath,
Vaninder K. Dhillon,
Mohammad Shaear,
Lisa Rooper,
Jonathon O. Russell,
Ralph P. Tufano

Affiliations

Rohit Ranganath: Department of General Surgery, Louisiana State University Health Sciences Center, Shreveport, LA, USA
Vaninder K. Dhillon: Division of Head and Neck Endocrine Surgery, Department of Otolaryngology – Head and Neck Surgery, School of Medicine, The Johns Hopkins University, Baltimore, MD, USA
Mohammad Shaear: Division of Head and Neck Endocrine Surgery, Department of Otolaryngology – Head and Neck Surgery, School of Medicine, The Johns Hopkins University, Baltimore, MD, USA
Lisa Rooper: Department of Pathology, School of Medicine, The Johns Hopkins University, Baltimore, MD, USA
Jonathon O. Russell: Division of Head and Neck Endocrine Surgery, Department of Otolaryngology – Head and Neck Surgery, School of Medicine, The Johns Hopkins University, Baltimore, MD, USA
Ralph P. Tufano: Division of Head and Neck Endocrine Surgery, Department of Otolaryngology – Head and Neck Surgery, School of Medicine, The Johns Hopkins University, Baltimore, MD, USA; Corresponding author. Department of Otolaryngology – Head and Neck Surgery, The Johns Hopkins School of Medicine, Johns Hopkins Outpatient Center, 601 N. Caroline Street, 6th floor, Baltimore, MD 21287, USA.

Journal volume & issue: Vol. 6, no. 3
pp. 176 – 181

Abstract

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Lymph node metastasis is common in differentiated thyroid cancer especially papillary thyroid cancer. Presence of lymph node metastasis does not have an impact on survival in younger patients. Therapeutic central and lateral neck dissection in the presence of clinically or radiologically evident lymph nodes has resulted in good overall survival. However, disease persistence in the lymph node/early recurrences may be seen in patients owing to lymph nodes that may be missed during the initial neck dissection. These observed locations are retropharyngeal and parapharyngeal nodal location, retro carotid location, sublingual, axillary, and intraparotid locations, supraclavicular and superficial to the sternothyroid muscle. We aim to highlight these locations with the goal to minimize persistence or early recurrence of disease at these locations.

Published in World Journal of Otorhinolaryngology-Head and Neck Surgery

ISSN: 2095-8811 (Print); 2589-1081 (Online)
Publisher: Wiley
Country of publisher: United Kingdom
LCC subjects: Medicine: Otorhinolaryngology; Medicine: Surgery
Website: https://onlinelibrary.wiley.com/journal/25891081

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