Metastasi dello spazio parafaringeo da carcinoma della tiroide: Trattamento chirurgico di due casi con tecnica video-assistita mini-invasiva

Translated title of the contribution: Parapharyngeal metastases from thyroid cancer: Surgical management of two cases with minimally-invasive video-assisted technique

Leone Giordano, F. Pilolli, S. Toma, M. Bussi

Research output: Contribution to journalArticle

Abstract

Metastases to parapharyngeal or retropharyngeal lymph nodes are rare in well-differentiated thyroid cancers. A review of English literature found only 112 cases reported in the last two decades, with an incidence of parapharyngeal lymph nodes metastases ranging from 0.43 to 2.5%. Surgical resection is the most effective treatment for patients with parapharyngeal lymph node metastasis from thyroid carcinoma. We describe two cases of thyroid cancer parapharyngeal lymph node metastases that were surgically removed using a traditional transcervical approach, with the help of a minimally-invasive video-assisted technique. A video-assisted minimally-invasive transcervical approach is a new technique for excision of sizable benign tumours and selected malignant tumours. The endoscopic technique allows clear identification of critical surgical landmarks that guide the dissection through the correct cleavage plane in a nearly bloodless surgical field, thus decreasing the rate of complications. In both patients postoperative follow-up showed no sequelae and recurrence after 20 and 15 months from surgery.

Original languageItalian
Pages (from-to)289-292
Number of pages4
JournalActa Otorhinolaryngologica Italica
Volume35
Issue number4
Publication statusPublished - Aug 1 2015

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ASJC Scopus subject areas

  • Otorhinolaryngology

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