Simultaneous Metastatic Papillary Thyroid Carcinoma and Carcinoid of the Small Intestine in the Cervical Lymph Node Group

Markou, Konstantinos; Goudakos, John; Triaridis, Stefanos; Televantou, Despoina; Hytiroglou, Prodromos; Nikolaou, Angelos

doi:10.1089/thy.2009.0438

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“…However, cervical and upper mediastinal lymph node metastases from gastrointestinal and pancreatic NETs are rare and have been reported in less than 8.7% of patients ( 14 ). Furthermore, simultaneous metastases of PTC and NET of the intestinal tract to cervical lymph nodes are very rare and have been reported only once in the literature ( 17 ). The patient presented had simultaneous cervical lymph node metastasis of PTC and NET of small intestine, which is more common than CRNET ( 17 ).…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, simultaneous metastases of PTC and NET of the intestinal tract to cervical lymph nodes are very rare and have been reported only once in the literature ( 17 ). The patient presented had simultaneous cervical lymph node metastasis of PTC and NET of small intestine, which is more common than CRNET ( 17 ). Our case report is therefore the first presentation of a patient with concomitant CRNET and PTC metastasis in the cervical lymph node group.…”

Section: Discussionmentioning

confidence: 99%

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Simultaneous Metastases of Papillary Thyroid Carcinoma and Neuroendocrine Tumor of the Cecum to Cervical Lymph Nodes: A Case Report

Romić

2023

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SUMMARY We present a case of a patient with simultaneous cervical lymph node metastasis of papillary thyroid cancer (PTC) and cecum neuroendocrine tumor (NET). A 45-year-old male patient with the diagnosis of metastatic NET of the cecum underwent fine needle aspiration (FNA) of a positron emission tomography with 18F-fluorodeoxyglucose (18F-FDG PET) positive nodule in the left thyroid lobe. Due to FNA finding suspect of PTC, the patient underwent total thyroidectomy with central neck dissection. Histopathologic finding revealed PTC of the left thyroid lobe and small solitary lymph node PTC metastasis in the central neck region. Postoperative evaluation with neck ultrasound (US) revealed two enlarged suspected lymph nodes in cervical regions III and IV on the left side of the neck and the patient underwent FNA with measurement of thyroglobulin (Tg) in the aspirates. The FNA finding of the cervical lymph node in the region III revealed PTC metastasis with high Tg value in the aspirate, while FNA finding of the cervical lymph node in the region IV revealed NET metastasis with low Tg value in the aspirate. Postoperative serum Tg value was 17.75 µg/L and the patient underwent 5550 MBq iodine-131 (I-131) therapy. A year after I-131 therapy, follow-up neck US demonstrated complete cure of PTC cervical lymph node metastasis in the region III and stable in size NET cervical lymph node metastasis in the region IV. To our knowledge, this is the first report of simultaneous occurrence of cervical lymph node metastases of PTC and NET of the cecum.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Simultaneous Metastases of Papillary Thyroid Carcinoma and Neuroendocrine Tumor of the Cecum to Cervical Lymph Nodes: A Case Report

Romić

2023

ACC

View full text Add to dashboard Cite

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Simultaneous Metastatic Papillary Thyroid Carcinoma and Carcinoid of the Small Intestine in the Cervical Lymph Node Group

Abstract: To our knowledge, this is the first report of a coexistence of metastatic papillary thyroid carcinoma and intestinal carcinoid tumor in cervical lymph nodes.

Cited by 1 publication

References 10 publications

Simultaneous Metastases of Papillary Thyroid Carcinoma and Neuroendocrine Tumor of the Cecum to Cervical Lymph Nodes: A Case Report

Simultaneous Metastases of Papillary Thyroid Carcinoma and Neuroendocrine Tumor of the Cecum to Cervical Lymph Nodes: A Case Report

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