[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-338477-105":59,"doc-detail-338477-en":122},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":115,"head_meta":117,"extra_data":119,"updated_unix":121},105,"en","ectopic-papillary-thyroid-cancer-about-a-case","Ectopic Papillary Thyroid Cancer - About a Case","","Cervical lymph nodes may reflect inflammatory or malignant disease. Ectopic thyroid carcinoma, especially papillary carcinoma, can be discovered in resected lymph nodes despite no clinical thyroid abnormalities, representing hidden or incidental metastasis. A 42-year-old woman presented with a 5 cm thyroid nodule and symptoms. Ultrasound and biopsy confirmed multinodular goiter and incidental metastatic papillary thyroid carcinoma in a right cervical lymph node. Total thyroidectomy and lymph node exploration showed metastasis; 100 mCi ablation achieved complete response. The case highlights careful evaluation and precise treatment planning to avoid misdiagnosis.",{"@graph":69,"@context":114},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/ectopic-papillary-thyroid-cancer-about-a-case/338477/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/ectopic-papillary-thyroid-cancer-about-a-case/338477.png","ImageObject",300,407,{"name":92,"@type":93},"Seraphina","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-28","2026-09-21",true,{"@type":102,"interactionType":103,"userInteractionCount":34},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108],{"name":109,"@type":110,"acceptedAnswer":111},"What treatment led to complete response?","Question",{"text":112,"@type":113},"The patient underwent a complete thyroidectomy and lymph node exploration, along with removal of the ectopic lesion. Adjuvant treatment with 100 mCi ablation resulted in a complete response.","Answer","https://schema.org",{"og:url":83,"og:type":116,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":118,"canonical":83},"index,follow",{"doc_id":120,"site_id":62},338477,1790075784,{"code":4,"msg":5,"data":123},{"doc_id":120,"user_id":124,"nickname":92,"user_avatar":125,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":126,"file_id":127,"file_url":128,"file_type":129,"file_size":130,"view_count":34,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":24,"language":131,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":132,"faqs":133,"seo_title":134,"seo_description":67,"update_tm":135,"read_time":136},962075114101,"https://ap-avatar.wpscdn.com/avatar/e000253a75eb197efd?x-image-process=image/resize,m_fixed,w_180,h_180&k=1780044092746381165","Review began 07/28/2024  \nReview ended 10/16/2024  \nPublished 10/21/2024  \n© Copyright 2024  \nHernández-Utrera et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 4.0. , which permits unrestricted use , distribution , and reproduction in any medium , provided the original author and source are credited.  \nDOI: 10.7759/cureus.72072  \nOpen Access Case Report  \nEctopic Papillary Thyroid Cancer: About a Case  \nJaime Enrique Hernández-Utrera 1, Luis Fernando Domínguez-Valdez 1, 2 , Alejandra Lara-Mejía 1 , José Roberto Juárez-Díaz 3, Abraham Edgar Gracia-Ramos 4 , Antonio Segovia-Palomo 2, Héctor A. Rodríguez-Rubio 3  \n1. Internal Medicine, Specialties Hospital \"Dr. Antonio Fraga Mouret \" La Raza National Medical Center of the Mexican Institute of Social Security (IMSS), Mexico City, MEX 2. Endocrinology and Thyroidology, General Hospital of Mexico\"Dr. Eduardo Liceaga \", Mexico City, MEX 3. Surgery, Specialties Hospital \"Dr. Antonio Fraga Mouret \" La Raza National Medical Center of the Mexican Institute of Social Security (IMSS), Mexico City, MEX 4. Internal Medicine, General Hospital, La Raza National Medical Center of the Mexican Institute of Social Security (IMSS), Mexico City, MEX  \nCorresponding author: Héctor A. Rodríguez-Rubio, [hector5thb@gmail.com](hector5thb@gmail.com)  \nAbstract  \nCervical lymph nodes can indicate various inflammatory or cancerous conditions. Ectopic thyroid carcinoma, particularly papillary carcinoma, can be found in resected lymph nodes even without clinical thyroid abnormalities, known as hidden (incidental) metastasis. We present the case of a 42-year-old woman with a 5 cm thyroid nodule and associated symptoms. Ultrasound and biopsy confirmed amultinodular goiter and an incidental metastatic papillary thyroid carcinoma (PTC) in the right cervical lymph node. A total thyroidectomy and lymph node exploration revealed PTC metastasis. Treatment included 100 mCi ablation, resulting in a complete response. This case emphasizes the need for careful evaluation and precise treatment planning for patients with PTC to avoid misdiagnosis.  \nCategories: General Surgery, Endocrinology/Diabetes/Metabolism, Oncology  \nKeywords: cervical lymph node metastasis, ectopic ptc, ectopic thyroid, papillary thyroid carcinoma, thyroid hyperplasia, ultrasound  \nIntroduction  \nVarious inflammatory or cancerous conditions are associated with signs of cervical lymph nodes. Further research has revealed histopathological signs of abnormal thyroid tissue in cervical lymph nodes, identified through epithelial protein markers, such as keratin, which are found in dissected lymph nodes of patients with other cancerous conditions [1,2] . Other studies have found thyroid cancer tissue in cervical nodules incidentally during elective resection and surgical treatments for patients with squamous cell carcinoma of the head and neck [3] . Specifically, they have found ectopic papillary thyroid cancer in cervical nodes without any abnormalities or primary carcinoma present in the thyroid gland, which is referred to as occult (incidental) cancer [4] .  \nPapillary thyroid carcinoma originates in the tissue of the cervical lymph nodes, indicating that thyroid cancer can spread to these nodes. Ectopic thyroid tissue can undergo the same pathological processes as normal thyroid tissue, including inflammation, hyperplasia, and tumor formation. Differentiating between primary cancer in ectopic thyroid tissue and cancer that has spread to cervical lymph nodes is crucial in managing patients with a history of thyroid cancer. As a result, the preferred treatment for papillary thyroid carcinomas has been the surgical removal of the thyroid gland and cervical lymph nodes [5] .  \nCase Presentation  \nA 42-year-old woman was referred for evaluation of a large thyroid nodule. She experienced symptoms such as weakness, fatigue, difficulty swallowing, and changes in her voice but had not lost weig","cbCais5joAWMAJ79","https://ap.wps.com/l/cbCais5joAWMAJ79","pdf",4066329,"English","# Abstract\n# Introduction\n# Case Presentation\n## Imaging and Biopsy\n## Surgery and Pathology","[{\"question\":\"What treatment led to complete response?\",\"answer\":\"The patient underwent a complete thyroidectomy and lymph node exploration, along with removal of the ectopic lesion. Adjuvant treatment with 100 mCi ablation resulted in a complete response.\"}]","Ectopic Papillary Thyroid Cancer - About a Case | PDF",1790023780,13]