title: [Case of papillary carcinoma of the thyroid gland with concurrent tuberculous lymphadenitis].
abstract: We report a case of papillary carcinoma of the thyroid gland and cervical lymph node metastases with concurrent tuberculous lymphadenitis that was diagnosed preoperatively. A 35-year-old woman presented with multiple lymph node swellings and an anterior neck mass. No findings suggesting the coexistence of pulmonary tuberculosis were present. The patient underwent a total thyroidectomy with bilateral neck dissection together with medication. Measures to prevent tuberculosis were undertaken during the perioperative period. The histopathological diagnosis was papillary carcinoma with both metastatic and tuberculous lymphadenitis of the lymph nodes in the neck. The possible coexistence of tuberculous lymphadenitis must be ruled out when lymph node swellings are observed in patients with head and neck cancer, including thyroid carcinoma.
authors.affiliation: Department of Otorhinolaryngology, Head & Neck Surgery, Mie University Graduate School of Medicine, Tsu.
authors.forename: Hajime
authors.initials: H
authors.lastname: Ishinaga
authors.affiliation: Department of Otorhinolaryngology, Head & Neck Surgery, Mie University Graduate School of Medicine, Tsu.
authors.forename: Noriko
authors.initials: N
authors.lastname: Hamaguchi
authors.affiliation: Department of Otolaryngology, National Defense Medical College Hospital, Tokorozawa.
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Suzuki
authors.affiliation: Department of Otorhinolaryngology, Head & Neck Surgery, Mie University Graduate School of Medicine, Tsu.
authors.forename: Tomotaka
authors.initials: T
authors.lastname: Miyamura
authors.affiliation: Department of Otorhinolaryngology, Head & Neck Surgery, Mie University Graduate School of Medicine, Tsu.
authors.forename: Satoshi
authors.initials: S
authors.lastname: Nakamura
authors.affiliation: Department of Otorhinolaryngology, Head & Neck Surgery, Mie University Graduate School of Medicine, Tsu.
authors.forename: Kazuya
authors.initials: K
authors.lastname: Otsu
authors.affiliation: Department of Otorhinolaryngology, Head & Neck Surgery, Mie University Graduate School of Medicine, Tsu.
authors.forename: Kazuhiko
authors.initials: K
authors.lastname: Takeuchi
mesh_terms: D000328:Adult; D002291:Carcinoma, Papillary / Q000150:complications* / Q000175:diagnosis / Q000556:secondary / Q000628:therapy; D003428:Cross Infection / Q000517:prevention & control; D005260:Female; D006801:Humans; D017053:Infection Control / Q000379:methods; D008198:Lymph Nodes / Q000473:pathology; D008207:Lymphatic Metastasis; D037981:Neck Dissection; D013964:Thyroid Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000473:pathology / Q000628:therapy; D013965:Thyroidectomy; D016896:Treatment Outcome; D014376:Tuberculosis / Q000517:prevention & control; D014388:Tuberculosis, Lymph Node / Q000150:complications* / Q000175:diagnosis / Q000473:pathology / Q000628:therapy