[Clinical treatment of metastatic papillary thyroid carcinoma in cervical lymph nodal with occult primary sites].

Objective:To discuss the diagnosis, treatment and prognosis of metastatic papillary thyroid carcinoma in cervical lymph nodal with occult primary sites. Method:The clinical data of 5 patients involved papillary thyroid carcinoma with cervical lymph nodal metastasis with occult primary sites from 2009 to 2015 were analyzed. Result:According to preoperation examinations, two of them only underwent neck lymph node resection and three patients underwent asubtotal or total thyroidectomy plus neck lymph node dissection. All the pathological results showed that there were metastatic papillary thyroid carcinoma in cervical lymph nodal, but the primary sites of thyroid tissue were normal. After 1 to 7 year follow-up, there was no recurrence. Conclusion:Whether to take the thyroidectomy need to be carefully considered thyroidectomy in patients with metastatic papillary thyroid carcinoma in cervical lymph nodal with occult primary sites.