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Inicio Acta Otorrinolaringológica Española Tumoración parafaríngea metastásica de carcinoma papilar de tiroides
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Vol. 56. Issue 3.
Pages 135-137 (March 2005)
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Vol. 56. Issue 3.
Pages 135-137 (March 2005)
Tumoración parafaríngea metastásica de carcinoma papilar de tiroides
Papillary carcinoma of the thyroid metastatic to the parapharyngeal space
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J. Ruiz Clemente1, F. Ortiz Bish, J. González García, E. Gómez Aldaz, E. Ruiz Carmona, F. Muñoz Borge, H. Galera Ruiz
Servicio de Otorrinolaringología. Hospital Universitario Virgen Macarena. Sevilla
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Resumen

Se presenta un caso de metástasis de carcinoma papilar de tiroides de localización en el espacio parafaríngeo con clínica inicial de características obstructivas a nivel locorregional (disfagia progresiva y desviación contralateral de la amígdala correspondiente). En el estudio de imagen (TAC y RNM), la masa adoptaba una morfología especial, pero el diagnóstico no se confirmó hasta que se realizó el estudio anatomopatológico. Este espacio no es un lugar frecuente de asiento de metastasis ni de carcinomas tiroideos ni del resto de tumores de cabeza y cuello, por lo que, hasta la fecha, solo se han descrito 5 casos similares en la literature médica.

Palabras clave:
Tumoración parafaríngea
Metástasis ganglionares
Carcinoma papilar de tiroides
Abstract

This is a case report of a papillary thyroid carcinoma metastatic to the parapharyngeal space, that presented with local obstructive symptoms (dysphagia and displacement of the ipsilateral tonsil). The diagnosis was suspected by imaging studies (CT and MRI) but not confirmed until histological examination. It is not common for such tumors to metastasize to the parapharyngeal space. This is the reason why, to our knowledge, there have been described only five similar cases previously.

Key words:
Parapharyngeal mass
Nodal metastases
Papillary thyroid carcinoma

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