Tiroid Papiller Mikrokarsinomun Soliter Kistik Metastazı: 2 Olgunun Sunumu
Genç erişkinlerde, soliter kistik lateral boyun kitlelerinin en sık sebebi brankiyal kleft kistleridir. Sık görülmese de boyun lateralindeki soliter kistik kitleler, okült tiroid karsinomların başlangıç semptomu olabilir1. Nadir görülen bu durum birçok olguda tiroid bezindeki primer lezyonun metastatik odağı şeklinde görülürken, bazı olgularda, özellikle de tiroid bezinde primer odak gösterilemediğinde, brankiyal kist içerisindeki ektopik tiroid dokusundan kaynaklanabilirler. Bu çalışmada okült tiroid papiller karsinom metastazına bağlı, soliter kistik lateral boyun kitlesi olan iki olgu sunuldu.
Solitary Cystic Metastasis Of Thyroid Papillary Carcinoma: Two Cases Reports
The appearance of a solitary lateral cervical cystic mass as the only initial presenting symptom of occult thyroid carcinoma is uncommon. Its presence is often related with the more frequently branchial cyst in young adults, but also rarely related with thyroid carcinomas. In most of these cases all such lesions may initially be considered as metastatic foci from a primary thyroid lesion. However, an alternative explanation by means of which ectopic thyroid tissue is associated with a branchial cyst has to be considered, especially if no primary tumour is observed in the histological examination of the thyroid gland. We present two case of solitary cystic lymph node metastasis of occult papillary carcinoma of the thyroid.
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