Extra-pharyngeal neck pathology complicating pharyngeal pouch surgery.
One case each of: (1) low grade thyroid lymphoma; (2) supraclavicular and para-oesophageal metastasis of a uterine adenocarcinoma; and (3) recurrent multinodular goitre have been encountered in very intimate relationship with the neck of a pharyngeal pouch within the tracheo-oesophageal gutter raising the possibility that the two conditions were interrelated. The practical importance of these cases is that a surgeon excising a pouch from the neck ought to be able to resect a thyroid lobe should it prove necessary, and occasionally endoscopic diverticulotomy is the only reasonable option.
Shotton
J C
JC
Department of Otolaryngology, Kent and Sussex Hospital.
Russell
G A
GA
Milton
C M
CM
Sergeant
R J
RJ
D000368:Aged; D005260:Female; D006042:Goiter / Q000150:complications*; D006258:Head and Neck Neoplasms / Q000150:complications* / Q000556:secondary; D006801:Humans; D008228:Lymphoma, Non-Hodgkin / Q000150:complications / Q000473:pathology; D008297:Male; D008875:Middle Aged; D010614:Pharynx / Q000601:surgery*; D013964:Thyroid Neoplasms / Q000150:complications / Q000473:pathology; D016672:Zenker Diverticulum / Q000150:complications / Q000601:surgery*