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. 2004 Feb;30(1):80-4.
doi: 10.1016/j.ejso.2003.10.004.

Parapharyngeal metastases from thyroid cancer

G Desuter  1 , M Lonneux, I Plouin-Gaudon, F Jamar, E Coche, B Weynand, J Rahier, V Grégoire, G Andry, M Hamoir
Affiliations

Parapharyngeal metastases from thyroid cancer

G Desuter et al. Eur J Surg Oncol. 2004 Feb.

Abstract

Aim: To emphasise the pattern of lymphatic dissemination in the parapharyngeal space from thyroid cancer.

Patients and method: Among 696 patients treated for thyroid cancer between 1986 and 2001, parapharyngeal metastasis was diagnosed in three patients, previously treated for papillary thyroid carcinoma.

Results: All three patients have been treated by surgical resection through lateral cervical approach. Two of them were controlled regionally whereas the remaining one had a submucosal pharyngeal metastasis locally resected 27 months after parapharyngeal resection.

Conclusions: Parapharyngeal metastasis is rare, but should be a recognized pattern of lymphatic dissemination from thyroid carcinoma to avoid unnecessary radioiodine and because surgical resection is efficacious with acceptable morbidity.

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