Naveed A, Tapio Karhuketo, Tjernstrom, Yamina H C B, Raifi H T.
Parapharyngeal metastasis of Medullary Thyroid Carcinoma.
Pak J Otolaryngol Jan ;22(2):44-6.

A case of medullary thyroid carcinoma (MTC) with metastasis spread to the parapharyngeal space (PPS) in a 45-year old male patient from Indian subcontinent is presented. MTC comprises from 6% to 10% of thyroid malignancies` and presents quiet common with a metastasis in the neck. Only few cases of PPS metastasis of medullary thyroid carcinoma have been reported in the literature. The actual patient was investigated thoroughly and the parapharyngeal metastasis was removed successfully by cervical approach. There is no clinical sign of recurrence one year at the PPS site after the operation, however the serum calcitonin is still elevated.

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