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Parapharyngeal Space Metastasis from Occult Thyroid Carcinoma-a case report

ARULMOZHI S

Abstract


INTRODUCTION -Parapharyngeal space metastasis from thyroid carcinoma is very rare. Only very few cases have been recorded in review of literature. An occult thyroid carcinoma with parapharyngeal space metastasis may faade as a paraganglioma or a salivary gland tumour which requires a meticulous evaluation of the patient to arrive at the diagnosis. CASE REPORT -A 65 year old lady presented with neck swelling and complaints of difficulty in swallowing,           following which radiological and cytological evaluation was done and diagnosed as an occult papillary carcinoma of  thyroid with parapharyngeal space metastasis. She was treated surgically by total thyroidectomy with modified radical neck node dissection and excision of the parapharyngeal mass.

 


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L. Giordano, F. Pilolli, S. Toma, M. Bussi. Otorhinolaryngology Unit, Head and Neck Department, “San Raffaele” Hospital and Vita-Salute University, Milano, Italy. Case series and reports parapharyngeal metastases from thyroid cancer:surgical management of two cases with minimallyinvasive video-assisted technique. ACTA otorhinolaryngologica italica 2015;35:289-292

Sharma SC, Sagar P, Kumar R, Durgapal P. Isolated metastatic papillary thyroid carcinoma masquerading as parapharyngeal space paraganglioma. Singapore Med J. 2014 Mar;55(3):e42-5.

Feisal TK, Prepageran N, Shahrizal T, Zulkiflee AB. Unusual parapharyngeal lesion: aberrant thyroid gland. Singapore Med J. 2008;49:e137–8.

Cetik F, Yazici D, Uguz A. A thyroid tumor extending to the parapharyngeal space. BMC Ear Nose Throat Disord. 2006;6:3.

Thomas G, Pandey M, Jayasree K, et al. Parapharyngeal metastasis from papillary microcarcinoma of thyroid: report a case diagnosed by peroral fine needle aspiration. Br J Oral Maxillofac Surg. 2002;40:229–31.

Saydam L, Kalcioglu T, Demirkiran A, Gurer M. Occult papillary thyroid carcinoma presenting as a parapharyngeal metastasis. Am J Otolaryngol. 1999;20:166–8.

Rare and search of previous publication revealed only 7 reported cases and fnac is a simple effective method of diagnosis of PPS mass-British journal of oral and maxillofacial surgery.2002


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