Issue N# 3 - 2006
Papillary thyroid microcarcinoma presenting as cervical lymph node metastasis. Interest of tetrofosmin scintigraphy and lymph node thyroglobulin measurement.
Authors : S. Ajmi, H. Hassine, R. Sfar, Z. Grouz, M. Guezguez, M. Adelkefi, H. Essabbah (Sousse)
Ref. : Rev Laryngol Otol Rhinol. 2006;127,3:179-182.
Article published in french
Downloadable PDF document french
Purpose of the study: Thyroid microcarcinoma presenting as cervical lymph node metastasis is common and it is associated in most cases with the papillary variety. Diagnosis of lymph node metastases from a thyroid microcarcinoma is not always easy, because a thyroid nodule may not be palpable. Material and method: In this work, the authors report two cases of papillary microcarcinoma presenting as cervical lymph adenopathy. Results: The diagnosis was made preoperatively by Tetrofosmin scintigraphy and thyroglobulin measurement in the lymph node. Conclusion: Tetrofosmine scintigraphy is a performing exam but with a poor specificity. Lymph node thyroglobulin is a simple exam which is very sensitive and specific.
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