Case Report
Neck Metastasis from A Papillary Thyroid Cancer with no Detectable Primary Tumor in Thyroid-Case Report and Current State
Andres Ignacio Chala1*, Luisa Fernanda Pérez1, Humberto Ignacio Franco1, Rafael Pava1, Alex Pava1, Carlos Darío Aguilar1, John Jairo Duque2
1Head and Neck Service, Surgical Department, University of Caldas, Colombia
2Endocrine Service, Clinical Department, Quindio’s University, Colombia
Andres Ignacio Chala, Head and Neck Service, Surgical Department, Caldas University, Manizales Caldas, Colombia.
Received Date: February 21, 2020; Published Date: March 02, 2020
Abstract
Neck metastasis from a differentiated thyroid cancer with no detectable primary in the thyroid gland is rare, with few cases reported in the literature. Due to this there is no clear consensus about its etiology, treatment or prognosis. A new case in 41-year-old women with a 3cm neck metastasis is presented, she had a cystic metastasis from a papillary thyroid carcinoma with no detectable primary despite a meticulous clinical and imaging inspection. Even after surgery the primary tumor couldn’t be found on the thyroid gland. She had surgery and Iodine therapy. During active surveillance a central neck compartment recurrence was detected requiring surgery. A complete revision of literature shows only 9 cases reported; the theories about its origin are not clear. It seems to have as good prognosis as its counterpart with primary found in the gland.
Keywords: Unknown primary; Thyroid cancer; Neck metastasis cancer; Papillary thyroid cancer
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Andres Ignacio C, Luisa Fernanda P, Humberto Ignacio F, Rafael Pava, Alex Pava, Carlos Darío Aguilar, et al. Neck Metastasis from A Papillary Thyroid Cancer with no Detectable Primary Tumor in Thyroid-Case Report and Current State. On J Otolaryngol & Rhinol. 2(2): 2020. OJOR.MS.ID.000535.