title: Medullary carcinoma of the thyroid with axillary metastasis: a case report.
abstract: We report a case of axillary lymph node metastasis as a consequence of medullary thyroid carcinoma (MTC) in a 42-year-old man. On January 2009, the patient was referred to us for the management of right cervical lymph node enlargement. Total thyroidectomy was performed with right-sided functional neck dissection. Postoperative histopathology revealed MTC in the right lobe of the thyroid, with extrathyroidal extension and right-sided neck metastases. Multiple left cervical, mediastinal, and right axillary lymphadenopathies were detected at the third year follow-up exam. Left-sided functional neck dissection, axillary lymph node dissection, and mediastinal lymph node dissection were performed, and the pathologic outcomes revealed as the metastatic dissemination of MTC. After a disease-free term for 1 year, multiple metastatic lesions were detected in the patient.
authors.affiliation: 1 Ege University Hospital, Department of General Surgery, Division Endocrine Surgery, Bornova, Izmir, Turkey.
authors.forename: Murat
authors.initials: M
authors.lastname: Ozdemir
authors.forename: Ozer
authors.initials: O
authors.lastname: Makay
authors.forename: Ilgin
authors.initials: I
authors.lastname: Simsir
authors.forename: Yeşim
authors.initials: Y
authors.lastname: Ertan
authors.forename: Gokhan
authors.initials: G
authors.lastname: Icoz
authors.forename: Füsun
authors.initials: F
authors.lastname: Saygili
authors.forename: Mahir
authors.initials: M
authors.lastname: Akyildiz
mesh_terms: D000328:Adult; D001365:Axilla; D018278:Carcinoma, Neuroendocrine / Q000473:pathology* / Q000601:surgery; D006801:Humans; D008207:Lymphatic Metastasis; D008297:Male; D037981:Neck Dissection; D013964:Thyroid Neoplasms / Q000473:pathology* / Q000601:surgery; D013965:Thyroidectomy
keywords: Axillary involvement; Lymph node metastasis; Medullary thyroid cancer