Papillary thyroid carcinoma with metastatic cervical lymphadenopathy
Citation, DOI and case data
Palpable cervical masses more obviously on the left side.
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The whole thyroid gland has an altered signal in keeping with diffuse infiltrative tumoral involvement and contiguous with soft tissue extending into the left strap muscles and subcutaneous region
Thyroid and cricoid cartilages show abnormal signal intensity and enhancement
Numerous abnormal signals enhancing lymphadenopathy of different sizes at almost neck zones more dominantly on the left side forming a conglomerated shape causing swelling of the neck and displacement of neck internal structures
Some of the lymph nodes show internal cystic changes
Bulging of the right posterior pharyngeal wall by the internal carotid artery
Reversed cervical lordosis
Multilevel disco-osteophyte bulging with thecal sac indentation.
The recent patient already has a pathologically proven case of papillary thyroid carcinoma 9 months ago and left untreated.
Papillary thyroid carcinoma (PTC) is the most common malignancy of the thyroid gland and frequently has nodal metastases at presentation. The presence of lymph node metastasis in the neck has a more frequent recurrence rate but no higher mortality rate. PTCs that invade the adjacent tissues next to the thyroid gland have a worse prognosis due to a high local recurrence rate.