The rate of regional PTC metastasis to the neck is relatively high, while metastases outside the deep cervical chain
He had no complaint at the first follow-up, but he presented with constitutional symptoms, like fatigue and night sweats, and the physical examination determined lymphadenomegaly in the cervical chain
at the next follow-up.
A 3 X 2 cm single lymph node was found in the right posterior cervical chain.
During the sixth month of therapy, an approximate 4 X 5 cm fluctuating, conglomerated lymph node was detected in the right posterior cervical chain.
Pourfour du Petit syndrome is the opposite of Horner syndrome; it occurs with stimulation of the sympathetic cervical chain
The patient recovered without complications and was symptom-free for 6 years, until she presented again with a solitary lymph node in the anterior cervical chain that, on biopsy, was again consistent with KFD.
6[degrees]C, with generalized lymphadenopathy in the cervical chain, axillae, and groin.
Fluid in the upper and outer lymphotome drains outward and downward into the parotid nodes, then down the cervical chain
to the venous angle or terminus that is accessed at the supraclavicular fossae, and finally into the bloodstream.
Following the biopsy, MRI proved to be a more effective modality in demonstrating the involvement of the lymphadenopathy in the deep cervical chain
(figure 2) and its dramatic extension into the superior mediastinum, with invasion into the superior portion of the pericardium.
The neck and abdominal ultrasonographies revealed multiple lymphadenopaties (LAP) on cervical chains
and submandibular region.