Cervical metastasis of occult papillary thyroid carcinoma associated with epidermoid carcinoma of the larynx. |
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Authors: | J A López-Escámez A López-Nevot M I Moreno-García M J Gámiz J Salinero |
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Institution: | Department of Otorhinolaryngology, Hospital Universitario Virgen de las Nieves, Granada, Spain. |
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Abstract: | An occult, laterocervical papillary thyroid carcinoma tissue was found in a functional neck dissection for larynx cancer. The patient was a 76-year-old man with a history of smoking and alcohol ingestion who presented with a supraglottic carcinoma of the larynx located at the laryngeal surface of the epiglottis, left aryepiglottic fold, band and left ventricle with extension to the left vocal cord. Light microscopy showed a lymph node with a fibrous stroma with lymphoid follicles that presented a total substitution of the parenchyma by a papillary thyroid carcinoma. Although examination of the thyroid gland by seriated sections did not reveal any neoplasm, we argue that the papillary thyroid tissue is metastatic. |
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