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Non-Squamous Cell Carcinoma Metastatic Nodes in Retropharyngeal Space
Bronwyn E. Hamilton, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          • Diagnostic Checklist

            TERMINOLOGY

            • Abbreviations

              • Non-squamous cell carcinoma (SCCa) metastatic nodes in retropharyngeal space (RPS)
            • Definitions

              • Malignant RPS nodes of non-SCCa origin
                • Differentiated thyroid carcinoma (DTCa), melanoma, esthesioneuroblastoma (ENB), NHL
              • Node of Rouvière = lateral group of RPS nodes

            IMAGING

            • General Features

              • Imaging Recommendations

                • CT Findings

                  • MR Findings

                    • Nuclear Medicine Findings

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          CLINICAL ISSUES

                          • Presentation

                            • Natural History & Prognosis

                              • Treatment

                                DIAGNOSTIC CHECKLIST

                                • Consider

                                  Selected References

                                  1. Hartl DM et al: Management of retropharyngeal node metastases from thyroid carcinoma. World J Surg. 39(5):1274-81, 2015
                                  2. Li H et al: Diffusion-weighted imaging to differentiate metastatic from non-metastatic retropharyngeal lymph nodes in nasopharyngeal carcinoma. Dentomaxillofac Radiol. 44(3):20140126, 2015
                                  3. Kato H et al: Metastatic retropharyngeal lymph nodes: comparison of CT and MR imaging for diagnostic accuracy. Eur J Radiol. 83(7):1157-62, 2014
                                  4. Saindane AM: Pitfalls in the staging of cancer of thyroid. Neuroimaging Clin N Am. 23(1):123-45, 2013
                                  5. Kainuma K et al: The first report of bilateral retropharyngeal lymph node metastasis from papillary thyroid carcinoma and review of the literature. Acta Otolaryngol. 131(12):1341-8, 2011
                                  6. Kaplan SL et al: The role of MR imaging in detecting nodal disease in thyroidectomy patients with rising thyroglobulin levels. AJNR Am J Neuroradiol. 30(3):608-12, 2009
                                  7. Haas V et al: Unusual manifestation of anaplastic thyroid cancer. Acta Medica (Hradec Kralove). 51(4):233-6, 2008
                                  8. Zollinger LV et al: Retropharyngeal lymph node metastasis from esthesioneuroblastoma: a review of the therapeutic and prognostic implications. AJNR Am J Neuroradiol. 29(8):1561-3, 2008
                                  9. Liu T et al: FDG-PET, CT, MRI for diagnosis of local residual or recurrent nasopharyngeal carcinoma, which one is the best? A systematic review. Radiother Oncol. 85(3):327-35, 2007
                                  10. McMenamin DS et al: T1 hyperintense vertebral column melanoma metastases. AJNR Am J Neuroradiol. 28(9):1817-8, 2007
                                  11. Otsuki N et al: Retropharyngeal node metastasis from papillary thyroid carcinoma. Head Neck. 29(5):508-11, 2007
                                  12. Shellenberger T et al: Transoral resection of thyroid cancer metastasis to lateral retropharyngeal nodes. Head Neck. 29(3):258-66, 2007
                                  13. Tang LL et al: [The values of MRI, CT, and PET-CT in detecting retropharyngeal lymph node metastasis of nasopharyngeal carcinoma.] Ai Zheng. 26(7):737-41, 2007
                                  14. Kim HJ et al: Retropharyngeal lymph node metastasis from olfactory neuroblastoma: A report of two cases. Eur Arch Otorhinolaryngol. 263(8):778-82, 2006
                                  15. Fernández JM et al: Preliminary study of the lymphatic drainage system of the nose and paranasal sinuses and its role in detection of sentinel metastatic nodes. Acta Otolaryngol. 125(5):566-70, 2005
                                  16. Morrissey DD et al: Accuracy of computed tomography in determining the presence or absence of metastatic retropharyngeal adenopathy. Arch Otolaryngol Head Neck Surg. 126(12):1478-81, 2000
                                  17. Wagner JD et al: Metastatic melanoma to retropharyngeal lymph nodes causing pharyngeal obstruction. Ann Plast Surg. 40(1):84-7, 1998
                                  18. Premkumar A et al: Metastatic melanoma: correlation of MRI characteristics and histopathology. J Magn Reson Imaging. 6(1):190-4, 1996
                                  19. Robbins KT et al: Thyroid carcinoma presenting as a parapharyngeal mass. Head Neck Surg. 7(5):434-6, 1985
                                  Related Anatomy
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                                  Related Differential Diagnoses
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                                  References
                                  Tables

                                  Tables

                                  KEY FACTS

                                  • Terminology

                                    • Imaging

                                      • Top Differential Diagnoses

                                        • Clinical Issues

                                          • Diagnostic Checklist

                                            TERMINOLOGY

                                            • Abbreviations

                                              • Non-squamous cell carcinoma (SCCa) metastatic nodes in retropharyngeal space (RPS)
                                            • Definitions

                                              • Malignant RPS nodes of non-SCCa origin
                                                • Differentiated thyroid carcinoma (DTCa), melanoma, esthesioneuroblastoma (ENB), NHL
                                              • Node of Rouvière = lateral group of RPS nodes

                                            IMAGING

                                            • General Features

                                              • Imaging Recommendations

                                                • CT Findings

                                                  • MR Findings

                                                    • Nuclear Medicine Findings

                                                      DIFFERENTIAL DIAGNOSIS

                                                        PATHOLOGY

                                                        • General Features

                                                          CLINICAL ISSUES

                                                          • Presentation

                                                            • Natural History & Prognosis

                                                              • Treatment

                                                                DIAGNOSTIC CHECKLIST

                                                                • Consider

                                                                  Selected References

                                                                  1. Hartl DM et al: Management of retropharyngeal node metastases from thyroid carcinoma. World J Surg. 39(5):1274-81, 2015
                                                                  2. Li H et al: Diffusion-weighted imaging to differentiate metastatic from non-metastatic retropharyngeal lymph nodes in nasopharyngeal carcinoma. Dentomaxillofac Radiol. 44(3):20140126, 2015
                                                                  3. Kato H et al: Metastatic retropharyngeal lymph nodes: comparison of CT and MR imaging for diagnostic accuracy. Eur J Radiol. 83(7):1157-62, 2014
                                                                  4. Saindane AM: Pitfalls in the staging of cancer of thyroid. Neuroimaging Clin N Am. 23(1):123-45, 2013
                                                                  5. Kainuma K et al: The first report of bilateral retropharyngeal lymph node metastasis from papillary thyroid carcinoma and review of the literature. Acta Otolaryngol. 131(12):1341-8, 2011
                                                                  6. Kaplan SL et al: The role of MR imaging in detecting nodal disease in thyroidectomy patients with rising thyroglobulin levels. AJNR Am J Neuroradiol. 30(3):608-12, 2009
                                                                  7. Haas V et al: Unusual manifestation of anaplastic thyroid cancer. Acta Medica (Hradec Kralove). 51(4):233-6, 2008
                                                                  8. Zollinger LV et al: Retropharyngeal lymph node metastasis from esthesioneuroblastoma: a review of the therapeutic and prognostic implications. AJNR Am J Neuroradiol. 29(8):1561-3, 2008
                                                                  9. Liu T et al: FDG-PET, CT, MRI for diagnosis of local residual or recurrent nasopharyngeal carcinoma, which one is the best? A systematic review. Radiother Oncol. 85(3):327-35, 2007
                                                                  10. McMenamin DS et al: T1 hyperintense vertebral column melanoma metastases. AJNR Am J Neuroradiol. 28(9):1817-8, 2007
                                                                  11. Otsuki N et al: Retropharyngeal node metastasis from papillary thyroid carcinoma. Head Neck. 29(5):508-11, 2007
                                                                  12. Shellenberger T et al: Transoral resection of thyroid cancer metastasis to lateral retropharyngeal nodes. Head Neck. 29(3):258-66, 2007
                                                                  13. Tang LL et al: [The values of MRI, CT, and PET-CT in detecting retropharyngeal lymph node metastasis of nasopharyngeal carcinoma.] Ai Zheng. 26(7):737-41, 2007
                                                                  14. Kim HJ et al: Retropharyngeal lymph node metastasis from olfactory neuroblastoma: A report of two cases. Eur Arch Otorhinolaryngol. 263(8):778-82, 2006
                                                                  15. Fernández JM et al: Preliminary study of the lymphatic drainage system of the nose and paranasal sinuses and its role in detection of sentinel metastatic nodes. Acta Otolaryngol. 125(5):566-70, 2005
                                                                  16. Morrissey DD et al: Accuracy of computed tomography in determining the presence or absence of metastatic retropharyngeal adenopathy. Arch Otolaryngol Head Neck Surg. 126(12):1478-81, 2000
                                                                  17. Wagner JD et al: Metastatic melanoma to retropharyngeal lymph nodes causing pharyngeal obstruction. Ann Plast Surg. 40(1):84-7, 1998
                                                                  18. Premkumar A et al: Metastatic melanoma: correlation of MRI characteristics and histopathology. J Magn Reson Imaging. 6(1):190-4, 1996
                                                                  19. Robbins KT et al: Thyroid carcinoma presenting as a parapharyngeal mass. Head Neck Surg. 7(5):434-6, 1985