Journal of Korean Thyroid Association  2014;7(2):194-200

doi:10.11106/cet.2014.7.2.194

Axillary Lymph Node Metastasis of Papillary Thyroid Carcinoma: A Case Report.

Eun Jung KOO 1 ; Mi Ri LEE

Affiliations

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Keywords

Axillary lymph nodes metastasis; Papillary thyroid carcinoma

Country

Republic of Korea

Language

English

Abstract

We report a case of axillary lymph node metastasis (LNM) as a recurrence of papillary thyroid carcinoma (PTC) in a 68-year-old male. The patient initially presented in 2009 with a 3.4x5.4 cm sized neck swelling and left cervical lymphadenopathy. He underwent total thyroidectomy and central compartment neck dissection (CCND) with left modified radical neck dissection (MRND). The pathological report confirmed PTC with metastasis of neck lymph node. On a regular follow up of positron emission tomography (PET), LNM was found on the right supraclavicular area and on the left axillary area. It was 17 months after the initial thyroid cancer had been diagnosed. The right MRND and left axillary lymph node dissections were performed in April of 2012. Pathological result confirmed metastatic PTC of left axillary lymph nodes. After recovery from the surgery, the patient got radioactive iodine therapy with I-131 180 mCi.