title: Parapharyngeal metastases from thyroid cancer.
abstract: OBJECTIVE
  To emphasise the pattern of lymphatic dissemination in the parapharyngeal space from thyroid cancer.
  
  
  METHODS
  Among 696 patients treated for thyroid cancer between 1986 and 2001, parapharyngeal metastasis was diagnosed in three patients, previously treated for papillary thyroid carcinoma.
  
  
  RESULTS
  All three patients have been treated by surgical resection through lateral cervical approach. Two of them were controlled regionally whereas the remaining one had a submucosal pharyngeal metastasis locally resected 27 months after parapharyngeal resection.
  
  
  CONCLUSIONS
  Parapharyngeal metastasis is rare, but should be a recognized pattern of lymphatic dissemination from thyroid carcinoma to avoid unnecessary radioiodine and because surgical resection is efficacious with acceptable morbidity.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Head and Neck Oncology Program, Université Catholique de Louvain, St Luc University Hospital, Brussels, Belgium.
authors.forename: G
authors.initials: G
authors.lastname: Desuter
authors.forename: M
authors.initials: M
authors.lastname: Lonneux
authors.forename: I
authors.initials: I
authors.lastname: Plouin-Gaudon
authors.forename: F
authors.initials: F
authors.lastname: Jamar
authors.forename: E
authors.initials: E
authors.lastname: Coche
authors.forename: B
authors.initials: B
authors.lastname: Weynand
authors.forename: J
authors.initials: J
authors.lastname: Rahier
authors.forename: V
authors.initials: V
authors.lastname: Grégoire
authors.forename: G
authors.initials: G
authors.lastname: Andry
authors.forename: M
authors.initials: M
authors.lastname: Hamoir
mesh_terms: D002291:Carcinoma, Papillary / Q000556:secondary*; D006801:Humans; D008197:Lymph Node Excision; D008198:Lymph Nodes / Q000000981:diagnostic imaging; D008207:Lymphatic Metastasis; D008279:Magnetic Resonance Imaging; D010614:Pharynx; D013964:Thyroid Neoplasms / Q000473:pathology*; D014057:Tomography, X-Ray Computed