AIM: To emphasise the pattern of lymphatic dissemination in the parapharyngeal space from thyroid cancer. PATIENTS AND METHOD: Among 696 patients treated for thyroid cancer between 1986 and 2001, parapharyngeal metastasis was diagnosed in three patients, previously treated for papillary thyroid carcinoma. RESULTS: All three patients have been treated by surgical resection through lateral cervical approach. Two of them were controlled regionally whereas the remaining one had a submucosal pharyngeal metastasis locally resected 27 months after parapharyngeal resection. CONCLUSIONS: Parapharyngeal metastasis is rare, but should be a recognized pattern of lymphatic dissemination from thyroid carcinoma to avoid unnecessary radioiodine and because surgical resection is efficacious with acceptable morbidity.
Desuter, G., Lonneux, M., Plouin-Gaudon, I., Jamar, F., Coche, E., Weynand, B., Rahier, J., Grégoire, V., Andry, G., & Hamoir, M. (2004). Parapharyngeal metastases from thyroid cancer. European Journal of Surgical Oncology, 30(1), 80-84. https://doi.org/10.1016/j.ejso.2003.10.004 (Original work published 2004)