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- Title
Management of Retropharyngeal Node Metastases from Thyroid Carcinoma.
- Authors
Hartl, Dana; Leboulleux, Sophie; Vélayoudom-Céphise, Fritz-Line; Mirghani, Haïtham; Déandréis, Désirée; Schlumberger, Martin
- Abstract
Background: Lymph node metastases are relatively common in thyroid carcinoma, but retropharyngeal nodes (RPN) are rare. Management may be surgical or non-surgical, according to the context of the disease. Methods: Systematic review of cases reported in the literature and report of 5 cases. Results: Most case series report surgical management, via a cervical or transoral approach. RPN was the specific object of 26 case series, with a total of 85 patients, with surgery performed in 22/26 studies. Our 5 cases illustrated various strategies in the multidisciplinary management, with surgery for three patients (also with I in one case), targeted therapy for one patient with concurrent distant metastases, and watch and wait for one elderly patient. Conclusions: Management of RPN is not always surgical. Discussion of options in a multidisciplinary tumor board setting may optimize care.
- Subjects
LYMPH node surgery; THYROID gland surgery; THYROID cancer; METASTASIS; SURGERY
- Publication
World Journal of Surgery, 2015, Vol 39, Issue 5, p1274
- ISSN
0364-2313
- Publication type
Article
- DOI
10.1007/s00268-015-2947-2