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 CASE REPORT
Year : 2019  |  Volume : 56  |  Issue : 4  |  Page : 356-358

Submental nodal metastasis in papillary carcinoma of the thyroid


Department of Head and Neck Surgical Oncology, Regional Cancer Centre, Trivandrum, Kerala, India

Correspondence Address:
Jeyashanth Riju
Department of Head and Neck Surgical Oncology, Regional Cancer Centre, Trivandrum, Kerala
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijc.IJC_279_18

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Papillary carcinoma of thyroid (PCT) commonly shows metastasis to central and lateral cervical compartment neck nodes. Submental nodes are rarely involved by PCT. Thus, its management is not clear. We report two young men who presented with submental nodal metastasis from PCT. Both underwent total thyroidectomy with central compartment neck dissection and modified radical neck dissection (MRND). Probable factors which might influence submental nodal metastasis are analyzed. We conclude that physicians should be aware of the possibility of submental nodal metastasis from PCT. A selective approach for neck dissection can be an alternative to MRND, reducing the morbidity in management of such cases.






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