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KMID : 0390220000110010163
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Journal of Clinical Otolaryngology, Head and Neck Surgery
2000 Volume.11 No. 1 p.163 ~ p.166
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Two Cases of Thyroid Papillary Carcinoma Detected by Cervical Cystic Mass
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박재형/Jae Hyung Park
최건/채성원/최충식/최종욱/Geon Choi/Sung Won Chae/Choong Sik Choi/Jong Ouck Choi
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Abstract
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Leteral cervical cysts commonly represent benign lesions and a branchial cleft cyst is the most common cyst to
arise laterally within the neck. But, it is not rare to find lateral cervical cysts caused by carcinomas from oro-
nasopharynx, thyroid, major salivary glands and lung. Among them, papillary thyroid carcinoma was a great
propensity for lymphatic spread and often cervical metastatic lymph node can be palpable without the primary
tumor being clinically evident. Particularly, patient over the age of 40 years presenting with a benign cystic
lesion in the neck should undergo preliminary examinations which include a careful history, fine needle
aspiration, ultrasound, thyroid scan for primary tumor evaluation and the possibility of metastatic thyroid
carcinoma must be ruled out. Recently, we experienced 2 cases of thyroid papillary carcinoma detected by
cervical metastatic lymph node which was thought to be a branchial cyst. We did total thyroidectomy after the
excisional biopsy of cystic masses which were revealed as metastatic thyroid papillary carcinoma.
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KEYWORD
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