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Lymph node metastasis in the suprasternal space from thyroid papillary cancer

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Please use this identifier to cite or link to this item:http://hdl.handle.net/2115/60449

Title: Lymph node metastasis in the suprasternal space from thyroid papillary cancer
Authors: Homma, Akihiro Browse this author →KAKEN DB
Hatakeyama, Hiromitsu Browse this author →KAKEN DB
Mizumachi, Takatsugu Browse this author
Furusawa, Jun Browse this author
Kano, Satoshi Browse this author
Sakashita, Tomohiro Browse this author
Fukuda, Satoshi Browse this author →KAKEN DB
Keywords: Thyroid cancer
Papillary cancer
Lymph node metastasis
Suprasternal space
Issue Date: Jan-2015
Publisher: Springer
Journal Title: International Cancer Conference Journal
Volume: 4
Issue: 1
Start Page: 57
End Page: 60
Publisher DOI: 10.1007/s13691-014-0171-9
Abstract: The suprasternal space is a narrow space between the superficial and deep layers of the investing layers of the deep cervical fascia above the manubrium of the sternum. The suprasternal space has been paid little attention as a space with the potential for lymph node metastasis from both thyroid cancer and head and neck cancer. We experienced 2 patients who were found to have a lymph node in the suprasternal space preoperatively. Both of them had well-differentiated thyroid papillary carcinomas and level III and IV lymph node metastases as well as metastasis in the suprasternal space. We have not previously dissected the suprasternal space prophylactically in other patients with thyroid papillary cancer, but no patient has developed metastasis in this space to date. The suprasternal space is not usually dissected in atients with thyroid cancer. However, suprasternal space metastasis has been reported to occur occasionally in patients with lymph node metastases in levels III and IV. We consider that dissection of the suprasternal space, which is not routinely performed, should be done when preoperative examination suggests lymph node metastasis in the suprasternal space as dissection of this space is less invasive, easy to achieve, and is not time consuming. Greater attention should be paid to the suprasternal space as an area with the otential for lymph node metastasis from thyroid cancer.
Rights: The final publication is available at Springer via http://dx.doi.org/10.1007/s13691-014-0171-9
Type: article (author version)
URI: http://hdl.handle.net/2115/60449
Appears in Collections:医学院・医学研究院 (Graduate School of Medicine / Faculty of Medicine) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

Submitter: 本間 明宏

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