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Parotid Metastasis in a Case of Papillary Thyroid Carcinoma: Case Report and Review of Literature

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Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

Papillary thyroid carcinoma (PTC) is the most common differentiated thyroid neoplasm. Common sites of regional and distant metastasis includes lymph nodes, lungs and bone. 51 year old female patient who was a known case of PTC with a history of multiple surgeries, radioactive iodine therapy (RAI) and oral chemotherapy presented with a painful right parotid mass. PET scan demonstrated FDG avid lesions in the right parotid gland, cervical lymph nodes and other distant sites. Cytology report showed features of metastatic PTC. Patient underwent extended total parotidectomy with facial nerve resection, skin and masseter muscle resection and extended radical neck dissection. Final histopathology (HPE) report showed metastatic papillary carcinoma thyroid. Patient is currently on oral chemotherapy and on regular follow up. PTC rarely metastasizes to parotid gland and such cases have to be treated with surgery alone or with a combination of surgery and RAI based on tumour burden.

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Acknowledgements

I would like to acknowledge the efforts of the department of robotics and surgical oncology, department of radiology and pathology of BLK-MAX Superspeciality hospital.

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Authors and Affiliations

  1. Department of Surgical Oncology, BLK-MAX Super Speciality Hospital, Pusa Road, Rajendra Place, Delhi, 110005, India

    Surendra K. Dabas, Nandini N. Menon, Himanshu Shukla, Reetesh Ranjan, Bikas Gurung, Sukirti Tiwari, Ashwani Sharma & Ajit Sinha

  2. Department of Histopathology, BLK-MAX Super Speciality Hospital, Pusa Road, Rajendra Place, Delhi, 110005, India

    Sahibinder Singh Bhatti

  3. Department of Nuclear Medicine, BLK-MAX Super Speciality Hospital, Pusa Road, Rajendra Place, Delhi, 110005, India

    Saurabh Arora

Authors
  1. Surendra K. Dabas
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  2. Nandini N. Menon
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  3. Himanshu Shukla
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  4. Reetesh Ranjan
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  5. Bikas Gurung
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  6. Sukirti Tiwari
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  7. Ashwani Sharma
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  8. Sahibinder Singh Bhatti
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  9. Saurabh Arora
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  10. Ajit Sinha
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Contributions

Study Concepts: Surendra K Dabas, Nandini N Menon, Himanshu Shukla, Reetesh Ranjan; Study Design: Nandini N Menon, Sahibinder Singh Bhatti, Saurabh Arora; Data Acquisition: Nandini N Menon, Sahibinder Singh Bhatti, Saurabh Arora; Quality control of data: Nandini N Menon, Himanshu Shukla, Reetesh Ranjan; Manuscript preparation: All Authors; Manuscript editing: All Authors; Manuscript reviewing: All Authors.

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Correspondence to Nandini N. Menon.

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Dabas, S.K., Menon, N.N., Shukla, H. et al. Parotid Metastasis in a Case of Papillary Thyroid Carcinoma: Case Report and Review of Literature. Indian J Otolaryngol Head Neck Surg 75, 1123–1128 (2023). https://doi.org/10.1007/s12070-022-03425-2

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  • DOI: https://doi.org/10.1007/s12070-022-03425-2

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