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01-05-2015 | Original Scientific Report

Management of Retropharyngeal Node Metastases from Thyroid Carcinoma

Authors: Dana M. Hartl, Sophie Leboulleux, Fritz-Line Vélayoudom-Céphise, Haïtham Mirghani, Désirée Déandréis, Martin Schlumberger

Published in: World Journal of Surgery | Issue 5/2015

Abstract

Background

Lymph node metastases are relatively common in thyroid carcinoma, but retropharyngeal nodes (RPN) are rare. Management may be surgical or non-surgical, according to the context of the disease.

Methods

Systematic review of cases reported in the literature and report of 5 cases.

Results

Most case series report surgical management, via a cervical or transoral approach. RPN was the specific object of 26 case series, with a total of 85 patients, with surgery performed in 22/26 studies. Our 5 cases illustrated various strategies in the multidisciplinary management, with surgery for three patients (also with ¹³¹I in one case), targeted therapy for one patient with concurrent distant metastases, and watch and wait for one elderly patient.

Conclusions

Management of RPN is not always surgical. Discussion of options in a multidisciplinary tumor board setting may optimize care.

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Title: Management of Retropharyngeal Node Metastases from Thyroid Carcinoma
Authors: Dana M. Hartl
Sophie Leboulleux
Fritz-Line Vélayoudom-Céphise
Haïtham Mirghani
Désirée Déandréis
Martin Schlumberger
Publication date: 01-05-2015
Publisher: Springer International Publishing
Published in: World Journal of Surgery / Issue 5/2015
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-015-2947-2

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Management of Retropharyngeal Node Metastases from Thyroid Carcinoma

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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