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[Papillary thyroid microcarcinoma revealed by cervical adenopathy]
1Service de Chirurgie Générale, Hótel-Dieu de France, Beyrouth, Liban. dbabboud@yahoo.fr
Aim Of The Study:
To report retrospectively 5 cases of papillary microcarcinoma of the thyroid revealed by cervical adenopathy with the clinic and histologic characteristics.
Material And Method:
Total thyroidectomy and bilateral cervical lymphadenectomy was realized in 5 patients.
Results:
From 1996 to 2002, 4 females and one man of 33 years old mean age presented for cervical adenopathy. Biopsy confirmed thyroid metastatic nature. The final pathology showed: a papillary microcarcinoma, bilateral and multifocal in 4 patients (80%), bilateral adenopathy in 3 patients (60%). All patients had a radioactive iodine and hormonotherapy postoperatively. The follow-up varied from 12 to 30 months. No metastasis or local recurrence were noted.
Conclusion:
Total thyroidectomy and bilateral cervical lymphadenectomy is the treatment of choice for papillary microcarcinoma of the thyroid presenting as a cervical metastatic adenopathy because it was bilateral and multifocal in 80% of cases with bilateral positive adenopathy in 60% of cases. Radioactive iodine and hormonotherapy postoperatively are recommended.