BMJ Case Reports 2012; doi:10.1136/bcr.01.2012.5603
  • Reminder of important clinical lesson

Cervical lymphadenopathy: metastasis of papillary carcinoma or ectopic thyroid tissue?

  1. Valentin Muntean2
  1. 1General Surgery Department, Riviera Hospital, Montreux, Switzerland
  2. 2General Surgery Department, C.F. University Hospital, Cluj-Napoca, Romania
  1. Correspondence to Dr Nicolae Irinel Simion, irisnicol{at}


Papillary thyroid carcinoma frequently metastasises to the regional neck lymph nodes. However, cervical lymph node metastases as sole manifestation of occult papillary thyroid carcinoma are observed rarely. The authors report the case of a 52-year-old man presenting for slowly enlarging neck region and shortness of breath, with an insidious history for 15 years. Thyroid imaging showed a goitre predominantly of the right lobe, but histopathological finding revealed a multi-centric thyroid papillary carcinoma with lymph node metastasis.


  • Competing interests None.

  • Patient consent Obtained.

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