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KMID : 1202020140070020194
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Journal of Korean Thyroid Association
2014 Volume.7 No. 2 p.194 ~ p.200
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Axillary Lymph Node Metastasis of PapillaryThyroid Carcinoma: A Case Report
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Koo Eun-Jung
Lee Mi-Ri
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Abstract
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We report a case of axillary lymph node metastasis (LNM) as a recurrence of papillary thyroid carcinoma (PTC)in a 68-year-old male. The patient initially presented in 2009 with a 3.4×5.4 cm sized neck swelling and leftcervical lymphadenopathy. He underwent total thyroidectomy and central compartment neck dissection(CCND) with left modified radical neck dissection (MRND). The pathological report confirmed PTC withmetastasis of neck lymph node. On a regular follow up of positron emission tomography (PET), LNM was foundon the right supraclavicular area and on the left axillary area. It was 17 months after the initial thyroid cancerhad been diagnosed. The right MRND and left axillary lymph node dissections were performed in April of 2012.Pathological result confirmed metastatic PTC of left axillary lymph nodes. After recovery from the surgery, thepatient got radioactive iodine therapy with I-131 180 mCi.
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KEYWORD
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Axillary lymph nodes metastasis, Papillary thyroid carcinoma
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