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Updated: Jan 20, 2026
Transoral Robotic Total Thyroidectomy and Bilateral Central Regional Lymph Node Dissection for Papillary Thyroid Carcinoma
Published on: September 15, 2023
[Cervical cystic lymph-node metastases from epidermoid carcinoma]
Patrick Marandas1, Michel A Germain, Odile Casiraghi
1Département de carcinologie cervico-faciale, l'Institut Gustave Roussy, 39 rue Camille Desmoulins-94005 Villejuif, France.
Cystic neck metastasis from squamous cell carcinoma, often originating in Waldeyer's ring, can be effectively treated with surgery and radiation therapy. This approach yields a favorable prognosis with a 77% 5-year survival rate for these challenging neck cancers.
Area of Science:
- Oncology
- Head and Neck Surgery
- Pathology
Context:
- Cystic nodal neck metastasis represents a distinct clinical presentation of squamous cell carcinoma.
- Diagnosis involves pathological examination of cyst walls and physical examination of the upper aerodigestive tract.
- Waldeyer's ring, particularly the tonsil, is a common primary site.
Purpose:
- To review the treatment and outcomes of cystic nodal neck metastasis from squamous cell carcinoma.
- To evaluate the efficacy of a combined surgical and radiation therapy approach.
Summary:
- Fifty-three cases of cystic neck metastasis from squamous cell carcinoma were analyzed over 30 years.
- Treatment involved surgical resection followed by external beam radiation therapy to the neck and Waldeyer's ring.
- Pathological confirmation of malignancy within the cyst wall was a key diagnostic feature.
Impact:
- The described multimodal treatment strategy demonstrates a good prognosis for patients.
- Achieved a 5-year actuarial overall survival rate of 77% in the studied cohort.
- Highlights the importance of thorough examination for primary tumors in Waldeyer's ring.
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