Skip to main content
Log in

Große zystische Raumforderung zervikal rechts

Large cystic tumor of the right neck

  • Bild und Fall
  • Published:
HNO Aims and scope Submit manuscript

Zusammenfassung

Ein 32-jähriger Patient stellte sich mit einer 6 cm durchmessenden, zystischen Raumforderung rechts zervikal vor. Nach kompletter Exstirpation ergab die histopathologische Aufarbeitung eine lymphogene Metastase eines papillären Schilddrüsenkarzinoms. Wir führten eine totale Thyroidektomie mit selektiver Neck-Dissection beidseits durch. Als Primarius imponierte ein 4 mm großes papilläres Mikrokarzinom im rechten Schilddrüsenlappen. Der postoperative Verlauf war unauffällig. Anschließend wurde eine Radioiodtherapie eingeleitet. 30 Monate nach Diagnose ist der Patient beschwerde- und tumorfrei.

Abstract

A 32-year-old patient presented to our department with a large cystic lesion in the right lateral neck (diameter 6 cm). After complete resection, the histopathological examination revealed a lymph node metastasis of a papillary thyroid carcinoma. We performed total thyroidectomy and bilateral selective neck dissection. There was a papillary microcarcinoma in the right lobe of the thyroid. The postoperative course was uneventful. Therapy with radioiodine was conducted. At 30 months after surgery the patient is free of disease.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Abb. 1
Abb. 2
Abb. 3
Abb. 4
Abb. 5

Literatur

  1. Pacini F, Schlumberger M, Dralle H et al (2006) European consensus fort he management of patients with differentiated thyroid carcinoma of the follicular epithelium. Eur J Endocrinol 154:787–804

    Article  PubMed  CAS  Google Scholar 

  2. Seven H, Gurkan A, Cinar U et al (2004) Incidence of occult thyroid carcinoma metastases in lateral cervical cysts. Am J Otolaryngol 25:11–17

    Article  PubMed  Google Scholar 

  3. Verge J, Guixá J, Alejo M et al (1999) Cervical cystic lymph node metastasis as first manifestation of occult papillary thyroid carcinoma: report of seven cases. Head Neck 21:370–374

    Article  PubMed  CAS  Google Scholar 

  4. Wada N, Duh QY, Sugino K et al (2002) Lymph node metastasis from 259 papillary thyroid microcarcinomas: frequency, pattern of occurance and recurrence, and optimal strategy for neck dissection. Ann Surg 237:399–407

    Google Scholar 

  5. Wunderbaldinger P, Harisinghani MG, Hahn PF et al (2002) Cystic lymph node metastases in papillary thyroid carcinoma. AJR Am J Roentgenol 178:693–697

    PubMed  Google Scholar 

Download references

Interessenkonflikt

Der korrespondierende Autor gibt an, dass kein Interessenkonflikt besteht.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to C.C. Boedeker.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Boedeker, M., Kayser, G., Offergeld, C. et al. Große zystische Raumforderung zervikal rechts. HNO 60, 234–237 (2012). https://doi.org/10.1007/s00106-011-2295-y

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00106-011-2295-y

Schlüsselwörter

Keywords

Navigation