Journal of Clinical Otolaryngology Head and Neck Surgery
The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery
증례

경부 낭성 종물로 발견된 갑상선 유두상암종 2례

박재형1, 최건1,*, 채성원1, 최충식1, 최종욱1
Jae Hyung Park1, Geon Choi1,*, Sung Won Chae1, Choong Sik Choi1, Jong Ouck Choi1
1고려대학교 의과대학 이비인후-두경부외과학교실
1Department of Otolaryngology-Head and Neck Surgery, College of Medicine Korea University, Seoul, Korea
*교신저자: 최 건, 152-703 서울 구로구 구로동 80 고려대학교 의과대학 이비인후-두경부외과학교실 전화: (02) 818-6749·전송: (02) 868-0475 E-mail: geonchoi@korea.ac.kr

© Copyright 2000 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Aug 25, 1999; Accepted: Feb 22, 2000

Published Online: May 31, 2020

ABSTRACT

Lateral 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 oronasopharynx, 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, patients 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. (J Clinical Otolaryngol 2000;11:163-166)

Keywords: 갑상선 유두상암종; 낭성 변성; 경부 림프절 전이
Keywords: Thyroid papillary carcinoma; Cervical metastatic lymph node; Cyst