Right submandibular gland metastasis from an occult papillary thyroid cancer

Sheetal Radia; Chandra Veer Singh; Priyanka Chamoli

doi:10.18203/issn.2454-5929.ijohns20181881

Authors

Sheetal Radia Department of Otorhinolaryngology, Bharat Ratna Dr Babasaheb Ambedkar Municipal General Hospital, Kandivali West, Mumbai, Maharashtra
Chandra Veer Singh Department of Otorhinolaryngology, Bombay Hospital and Institute of Medical Science, Mumbai, Maharashtra
Priyanka Chamoli Department of Otorhinolaryngology, Bombay Hospital and Institute of Medical Science, Mumbai, Maharashtra

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20181881

Keywords:

Thyroid gland, Papillary carcinoma, Salivary gland, Submandibular gland metastasis

Abstract

Papillary microcarcinoma may present with clinical symptoms, most commonly jugulodigastric and pretracheal lymphadenopathy with or without palpable thyroid nodules. Isolated submandibular metastases are rare. We are presenting here a case report of 40-year old lady with an isolated submandibular gland metastasis arising from a papillary thyroid carcinoma. Submandibular gland excision of right side was done based on the fine needle aspiration cytology (FNAC) which suggested features of Basal cell adenoma vs cellular pleomorphic adenoma. USG neck s/o 3×3.5×2.8 cm sized hypoechoic lesion right submandibular. Histopathologic examination of the specimen suggested a metastatic papillary carcinoma. Total thyroidectomy was done, no other site of metastasis was found on radio-iodine scanning.

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