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Original Research ARTICLE Provisionally accepted The full-text will be published soon. Notify me

Front. Oncol. | doi: 10.3389/fonc.2019.01226

Minimally invasive video-assisted surgical management for parapharyngeal metastases from papillary thyroid carcinoma: a case series report

 Shi-Tong Yu1*, wanzhi chen2, debin xu2, rong xie2, tao zhou2 and jichun yu2
  • 1Nanfang Hospital, Southern Medical University, China
  • 2Department of Thyroid Surgery, The Second Affiliated Hospital of Nanchang University, China

Background Papillary thyroid carcinoma (PTC) is the most prevalent cancer type in the endocrine system. Metastases to parapharyngeal lymph nodes (PPLN) are rare. Herein, we reported a cases series of PTC patients with PPLN metastases operated by minimally invasive video-assisted (MIVA) technique to evaluate the safety and effectiveness of this technique.
Method In this single-institutional study, six consecutive PTC patients with PPLN metastases between January 2012 and July 2018 were enrolled. All PPLN were managed by MIVA technique.
Result Six patients (three women and three men) underwent surgery were enrolled in the current study. The median age of patients was 40.5 years (39-66). Five patients (83.3%) were diagnosed primary PTC with PPLN metastases. And one patient has discovered PTC recurrence in PPLN after 17 years to her first PTC surgery. All patients received surgical treatment successfully, the median operative time, bleeding was 185(100-280) mins, 85(30-120) mL, respectively. None of the patients experienced postoperative complications except one patient experienced dysphagia and resolved within 3 months. During a median follow-up of 15 months (10-31), none of the patients was exhibited recurrence or persistent disease.
Conclusion The MIVA transcervical approach was technically feasible and reliable, with less invasiveness for PTC patients with PPLN metastases. Future studies are needed to accumulate more experience and to investigate the indications of the technique as well as long-term oncological safety.

Keywords: minimally invasive video-assisted technique, parapharyngeal lymph nodes metastases, Thyroid cancer (TC), Surgical techinque, Postoperative complication

Received: 15 Aug 2019; Accepted: 28 Oct 2019.

Copyright: © 2019 Yu, chen, xu, xie, zhou and yu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Dr. Shi-Tong Yu, Nanfang Hospital, Southern Medical University, Guangzhou, China, 258417083@qq.com