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A Case of Cervical Retrotracheal Metastatic Papillary Thyroid Carcinoma Diagnosed by Endobronchial Ultrasonography with Transbronchial Needle Aspiration
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논문 기본 정보

Type
Academic journal
Author
Journal
대한갑상선학회 International Journal of Thyroidology International Journal of Thyroidology 제8권 제2호 KCI Accredited Journals
Published
2015.1
Pages
235 - 239 (5page)

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A Case of Cervical Retrotracheal Metastatic Papillary Thyroid Carcinoma Diagnosed by Endobronchial Ultrasonography with Transbronchial Needle Aspiration
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Abstract· Keywords

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A 61-year-old woman who underwent total thyroidectomy for papillary thyroid carcinoma (PTC) five years previously referred for a cervical retrotracheal mass. The mass had intense fluorodeoxyglucose (FDG) uptake on positron emission tomography-computed tomography (PET-CT), and was thus thought to be malignant. Transcutaneous ultrasonography with fine needle aspiration (FNA) was not feasible, so we tried endobronchial ultrasonography (EBUS) with transbronchial needle aspiration (TBNA) to obtain a cytology specimen. After surgery, the mass was confirmed to be a metastatic lymph node from the previous PTC, confirming the TBNA results. Although the utility of EBUS-TBNA for evaluating mediastinal metastasis has been reported in a number of studies, few reports have addressed its utility in the cervical region. Here we report this unusual case of metastatic lymph node of PTC that recurred in the cervical retrotracheal area. It was found to exhibit esophageal muscular invasion, and was accurately diagnosed on EBUS-TBNA.
#Papillary thyroid carcinoma #EBUS-TBNA #Metastatic lymph node

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References (18)

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Choi JS / 2009 / Preoperative staging of papillary thyroid carcinoma: comparison of ultrasound imaging and CT / AJR Am J Roentgenol 193 (3) : 871 ~ 878 google schola Gillenwater AM / 1999 / Surgical management of laryngotracheal and esophageal involvement by locally advanced thyroid cancer / Semin Surg Oncol 16 (1) : 19 ~ 29 google schola Herth F / 2004 / Conventional vs endobronchial ultrasound-guided transbronchial needle aspiration: a randomized trial / Chest 125 (1) : 322 ~ 325 google schola Herth FJ / 2003 / Ultrasound-guided transbronchial needle aspiration: an experience in 242 patients / Chest 123 (2) : 604 ~ 607 google schola Herth FJ / 2006 / Endobronchial ultrasound-guided transbronchial needle aspiration of lymph nodes in the radiologically normal mediastinum / Eur Respir J 28 (5) : 910 ~ 914 google schola

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