Case Report: A papillary thyroid microcarcinoma patient with skip lymph node metastasis and multiple distant metastasis

被引:1
|
作者
Jiang, Qin [1 ]
Zhai, Mimi [2 ]
Lin, Xiang [3 ]
Ren, Chutong [1 ]
Li, Yunxia [2 ]
Ye, Fei [1 ]
Gong, Yi [1 ]
Liu, Sushun [1 ]
机构
[1] Cent South Univ, Xiangya Hosp 2, Dept Gen Surg, Changsha, Peoples R China
[2] Cent South Univ, Xiangya Nursing Sch, Changsha, Peoples R China
[3] Huaihua Second Peoples Hosp, Dept Gen Surg, Huaihua, Peoples R China
来源
FRONTIERS IN SURGERY | 2023年 / 9卷
关键词
papillary thyroid microcarcinoma; skip lymph node metastasis; shoulder metastasis; distant metastasis; case report; RISK-FACTORS; CANCER;
D O I
10.3389/fsurg.2022.1019846
中图分类号
R61 [外科手术学];
学科分类号
摘要
Papillary thyroid carcinoma (PTC) is the most common type of thyroid cancer. Papillary thyroid microcarcinoma (PTMC) is defined as PTC with a diameter less than 1 centimeter. Most lymph nodes of PTC patients have metastasized to the central neck, and a few lymph nodes have metastasized to the lateral neck. Skip lymph node metastasis, that is, lateral cervical lymph node metastasis without central lymph node metastasis, is even less common. Additionally, distant metastasis of PTMC is also rare, mainly occurring in the lung and bone. Here, we reported a case of PTMC patient with skip lymph node metastasis and multiple distant metastasis. The patient presented with a huge shoulder mass and the primary tumor was found to originate from the thyroid. However, the patient only suffered with PTMC via postoperative pathological results, and interestingly, the patient only had skip lymph node metastasis. Thus, we should focus on PTMC patients with lateral cervical lymph nodes metastasis, especially those with skip metastasis. In addition, this case provides a new perspective for us to understand of skip lymph metastasis and distant metastasis of PTMC.
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页数:8
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