The Association of Cervical Lymph-Node with Thyroid Papillary Carcinoma, Case Report

The association of cervical adenopathie with a cervical carcinoma location suggests a lymph node metastasis and requires a complicated and radical surgery. The most common location of extrapulmonary tuberculosis is cervical lymph nodes (63-77%) [1]. We report a tuberculous lymphadenetis mimicking lymph node metastasis in a 35-year-old patient operated for progressive cervical tumefaction. It was a papillary thyroid carcinoma found after an isthmo-lobectomy. The pathologic findings imposed a thyroidectomy totalization and an ipsilateral central neck lymph node dissection. The operatory finding of a controlateral adenopathy manly with the development of a controlateral cervical adenopathie suggesting lymph node metastatic extension. A lymph node excision was undertaken and the pathologic study revealed a tuberculous lymphadenitis. The patient was treated by put under antibacillary treatment and evolution was satisfactory. We also expose, through this work, a certain number of techniques of exploration likely to ascertain the diagnosis of a tuberculous lymphadenitis and to monitor the therapeutic strategy.