Huge posterior triangle lymphadenopathy as a rare sole presentation of papillary thyroid carcinoma
1 Breast and Endocrine Unit, Department of Surgery, Hospital Queen Elizabeth 2, Ministry of Health Malaysia, Kota Kinabalu, Sabah, Malaysia
2 Department of Surgery, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia
3 Department of Pathobiology and Medical Diagnostic, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia
4 Department of Otorhinolaryngology – Head & Neck Surgery, School of Medical Sciences, Universiti Sains Malaysia Health Campus, Kota Bharu, Kelantan, Malaysia
Correspondence: Firdaus Hayati, Department of Surgery, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Sabah, Malaysia, tel.: 088-320000, e-mail: firdaushayati@gmail.com, ORCID Number: 0000-0002-3757-9744
Pediatr Med Rodz 2019, 15 (1), p. 77–80
DOI: 10.15557/PiMR.2019.0013
ABSTRACT

Papillary thyroid carcinoma is well-known for its low malignant potential with good prognostic outcome. It usually presents as a palpable thyroid mass but scarcely manifests as an isolated cervical lymphadenopathy. A 50-year-old man presented with a huge posterior cervical lymphadenopathy which was suspicious for metastatic papillary thyroid carcinoma on fine needle aspiration cytology. The thyroid gland was clinically not visible or palpable. After computed tomography of the neck, the patient was preceded with total thyroidectomy and right selective lymph node dissection. Histopathological assessment confirmed metastases in the lymph node and papillary thyroid carcinoma in the resected gland. The paper revisits this unfortunate case of huge metastatic posterior triangle papillary thyroid carcinoma, illustrating the surgical outlines and discussing literature review.

Keywords: papillary thyroid carcinoma, lymphadenopathy, neck dissection