PDF(Pubmed)
Abstract：
UNASSIGNED: Metastasis to parapharyngeal space in papillary carcinoma of the thyroid is rare and often missed in routine clinical and radiological investigations. Although contrast CT /MRI can be done to locate the parapharyngeal lesion, the diagnosis of metastasis mostly deepened upon aspiration cytology, which is a challenge in difficult anatomical locations. Here, we have emphasized the management dilemma of parapharyngeal metastasis in papillary carcinoma of the thyroid.
UNASSIGNED: A 30-year-old female presented with multiple right-side neck swelling for two months. Ultrasonography of right thyroid showed TIRAD V and left thyroid showed TIRAD II. Aspiration cytology of the right thyroid showed Bethesda III and aspiration cytology revealed thyroid follicles. Due to the diagnostic ambiguity, contrast-enhanced CT scan was advised. It revealed a hypervascular lymph node in the parapharyngeal space besides multiple right cervical lymph nodes and later changed the treatment plan.
UNASSIGNED: - Metastasis to parapharyngeal space in Papillary carcinoma of the thyroid is rare and often missed on routine evaluation. Contrast-enhanced CT/MRI can be added as a primary investigation in challenging cases of suspicious malignancy of the thyroid.
UNASSIGNED: A 30-year-old female presented with multiple right-side neck swelling for two months. Ultrasonography of right thyroid showed TIRAD V and left thyroid showed TIRAD II. Aspiration cytology of the right thyroid showed Bethesda III and aspiration cytology revealed thyroid follicles. Due to the diagnostic ambiguity, contrast-enhanced CT scan was advised. It revealed a hypervascular lymph node in the parapharyngeal space besides multiple right cervical lymph nodes and later changed the treatment plan.
UNASSIGNED: - Metastasis to parapharyngeal space in Papillary carcinoma of the thyroid is rare and often missed on routine evaluation. Contrast-enhanced CT/MRI can be added as a primary investigation in challenging cases of suspicious malignancy of the thyroid.
摘要：
■甲状腺乳头状癌向咽旁间隙的转移很少见，并且在常规的临床和放射学检查中经常被遗漏。尽管可以通过CT/MRI造影来定位咽旁病变，转移的诊断大多在抽吸细胞学检查时加深，这在困难的解剖位置是一个挑战。这里,我们强调了甲状腺乳头状癌咽旁转移的治疗困境。
■一名30岁的女性出现多发性右侧颈部肿胀两个月。右侧甲状腺超声显示TIRADV，左侧甲状腺显示TIRADII。右侧甲状腺的抽吸细胞学检查显示BethesdaIII，抽吸细胞学检查显示甲状腺滤泡。由于诊断的模糊性，建议进行CT增强扫描.除多个右颈淋巴结外，还发现咽旁间隙有一个血管过多的淋巴结，后来改变了治疗方案。
■-甲状腺乳头状癌向咽旁间隙的转移很少见，在常规评估中经常漏诊。在甲状腺可疑恶性肿瘤的挑战性病例中，可以添加对比增强CT/MRI作为主要检查。
■一名30岁的女性出现多发性右侧颈部肿胀两个月。右侧甲状腺超声显示TIRADV，左侧甲状腺显示TIRADII。右侧甲状腺的抽吸细胞学检查显示BethesdaIII，抽吸细胞学检查显示甲状腺滤泡。由于诊断的模糊性，建议进行CT增强扫描.除多个右颈淋巴结外，还发现咽旁间隙有一个血管过多的淋巴结，后来改变了治疗方案。
■-甲状腺乳头状癌向咽旁间隙的转移很少见，在常规评估中经常漏诊。在甲状腺可疑恶性肿瘤的挑战性病例中，可以添加对比增强CT/MRI作为主要检查。
