A 61-year-old woman who underwent total thyroidectomy for papillary thyroid carcinoma(PTC) 5 years previously presented with cervical retrotracheal mass. The mass had intense fluorodeoxyglucose(FDG) uptake in positron emission tomography-computed tomography(PET-CT), which were thus suspected of malignancy. Due to transcutaneous ultrasonography with fine needle aspiration(FNA) was not feasible, we tried endobronchial ultrasonography(EBUS) with transbronchial needle aspiration(TBNA). After surgery, the mass was confirmed as a metastatic lymph node from the previous PTC which was same as the result of TBNA.
Although EBUS-TBNA have been reported its usefulness in a number of studies for evaluating mediastinal metastasis, few reports have been addressed its utility in the cervical region.
Here we report this unusual case of metastatic lymph node of PTC that recurred at cervical retrotracheal area and was found to have esophageal muscular invasion, accurately diagnosed with EBUS-TBNA findings which have not been reported previously.
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