[Mediastinal lymph node metastasis of thyroid cancer occurring 15 years after the initial operation; report of a case].
A 71-year-old woman was found to have an abnormal shadow on a chest X-ray. Fifteen years earlier she had undergone a subtotal thyroidectomy for thyroid cancer without any lymph node metastasis. Chest computed tomography (CT) revealed a mediastinal tumor with full of blood stream. Since the positron emission tomography (PET) disclosed an increased uptake of fluoro-2-deoxy-D-glucose (FDG) in the tumor, a malignant lymphatic tumor was therefore suspected. An immunohistological examination of biopsy specimens taken by thoracoscopic procedure demonstrated tumor to be lymph node metastasis of the previous thyroid cancer. After a tumor resection by means of a thoracotomy and total thyroidectomy, the patient was scheduled to receive radioiodine therapy. The previously reported cases are also herein reviewed.
Tsuda
M
M
Department of Surgery I, University of Toyama, Toyama, Japan.
Ichiki
K
K
Doki
Y
Y
Usuda
K
K
Misaki
T
T
Shimizu
M
M
Oya
T
T
D000368:Aged; D002291:Carcinoma, Papillary / Q000556:secondary* / Q000601:surgery; D005260:Female; D019788:Fluorodeoxyglucose F18; D006801:Humans; D008197:Lymph Node Excision; D008198:Lymph Nodes / Q000473:pathology*; D008207:Lymphatic Metastasis / Q000000981:diagnostic imaging* / Q000473:pathology; D008482:Mediastinum; D009687:Nuclear Proteins / Q000032:analysis; D049268:Positron-Emission Tomography; D011184:Postoperative Period; D013964:Thyroid Neoplasms / Q000473:pathology* / Q000601:surgery; D000074482:Thyroid Nuclear Factor 1; D013965:Thyroidectomy; D014157:Transcription Factors / Q000032:analysis
D009687:Nuclear Proteins; D000074482:Thyroid Nuclear Factor 1; D014157:Transcription Factors; D019788:Fluorodeoxyglucose F18