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Tuberculosis cervical lymphadenopathy mimics lateral neck metastasis from papillary thyroid carcinoma

Authors
 Seok-Mo Kim  ;  Hak Hoon Jun  ;  Ho-Jin Chang  ;  Ki Won Chun  ;  Bup-Woo Kim  ;  Yong Sang Lee  ;  Hang-Seok Chang  ;  Cheong Soo Park 
Citation
 ANZ JOURNAL OF SURGERY, Vol.86(6) : 495-498, 2016 
Journal Title
 ANZ JOURNAL OF SURGERY 
ISSN
 1445-1433 
Issue Date
2016
MeSH
Biopsy, Fine-Needle ; Carcinoma/diagnosis* ; Carcinoma/secondary ; Carcinoma, Papillary ; DNA, Bacterial/analysis ; Diagnosis, Differential ; Female ; Humans ; Lymph Nodes/diagnostic imaging* ; Lymph Nodes/microbiology ; Lymphatic Metastasis/diagnosis ; Male ; Middle Aged ; Mycobacterium tuberculosis/genetics ; Neck ; Polymerase Chain Reaction ; Retrospective Studies ; Thyroid Neoplasms/diagnosis* ; Thyroid Neoplasms/secondary ; Tomography, X-Ray Computed ; Tuberculosis, Lymph Node/diagnosis* ; Tuberculosis, Lymph Node/microbiology
Keywords
metastasis ; mimicking ; papillary ; thyroid ; tuberculosis
Abstract
BACKGROUND: Tuberculosis (TB) lymphadenitis is a frequent cause of lymphadenopathy in areas in which TB is endemic. Cervical lymphadenopathy in TB can mimic lateral neck metastasis (LNM) from papillary thyroid carcinoma (PTC). This study evaluated the clinicopathological features of patients with PTC and TB lateral neck lymphadenopathy. METHODS: Of the 9098 thyroid cancer patients who underwent thyroid cancer surgery at the Thyroid Cancer Center of Gangnam Severance Hospital between January 2009 and April 2013, 28 had PTC and showed TB lymphadenopathy of the lateral neck node. The clinicopathological features of these 28 patients were evaluated. RESULTS: Preoperatively, all 28 patients were diagnosed with PTC and showed cervical lymphadenopathy. All had radiological characteristics suspicious of metastasis in lateral neck nodes. Based upon the results from intraoperative frozen sections, lymph node dissection (LND) was not performed on 19 patients. Seven of eight patients who underwent LND had metastasis combined with tuberculous lymphadenopathy, with the remaining patient negative for LNM. CONCLUSIONS: Intraoperative sampling and frozen sectioning of lymph nodes suspicious of metastasis can help avoid unnecessary LND for tuberculous lymphadenopathy.
Full Text
http://onlinelibrary.wiley.com/doi/10.1111/ans.12727/abstract
DOI
10.1111/ans.12727
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Bup Woo(김법우) ORCID logo https://orcid.org/0000-0002-1342-9055
Kim, Seok Mo(김석모) ORCID logo https://orcid.org/0000-0001-8070-0573
Park, Cheong Soo(박정수)
Lee, Yong Sang(이용상) ORCID logo https://orcid.org/0000-0002-8234-8718
Chang, Hang Seok(장항석) ORCID logo https://orcid.org/0000-0002-5162-103X
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/152124
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