[Papillary thyroid microcarcinoma revealed by cervical adenopathy].
OBJECTIVE
To report retrospectively 5 cases of papillary microcarcinoma of the thyroid revealed by cervical adenopathy with the clinic and histologic characteristics.


METHODS
Total thyroidectomy and bilateral cervical lymphadenectomy was realized in 5 patients.


RESULTS
From 1996 to 2002, 4 females and one man of 33 years old mean age presented for cervical adenopathy. Biopsy confirmed thyroid metastatic nature. The final pathology showed: a papillary microcarcinoma, bilateral and multifocal in 4 patients (80%), bilateral adenopathy in 3 patients (60%). All patients had a radioactive iodine and hormonotherapy postoperatively. The follow-up varied from 12 to 30 months. No metastasis or local recurrence were noted.


CONCLUSIONS
Total thyroidectomy and bilateral cervical lymphadenectomy is the treatment of choice for papillary microcarcinoma of the thyroid presenting as a cervical metastatic adenopathy because it was bilateral and multifocal in 80% of cases with bilateral positive adenopathy in 60% of cases. Radioactive iodine and hormonotherapy postoperatively are recommended.
Abboud
Bassam
B
Service de Chirurgie Générale, Hótel-Dieu de France, Beyrouth, Liban. dbabboud@yahoo.fr
Sebaaly
Ghada
G
D000328:Adult; D002291:Carcinoma, Papillary / Q000175:diagnosis*; D005260:Female; D006801:Humans; D008197:Lymph Node Excision; D008207:Lymphatic Metastasis; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013964:Thyroid Neoplasms / Q000175:diagnosis*; D013965:Thyroidectomy