BACKGROUND: Nodal involvement of @entity3557 ( @entity3557 ) commonly occurs in the paratracheal region and the internal jugular chain. Lymph node @entity3 in the @entity3626 ( @entity3626 ) is rare. In this report, we describe our experience and surgical outcomes of @entity1 with @entity3626 @entity3 of @entity3557 . METHODS: Clinical data of @entity1 with @entity3557 who underwent surgery at our institution between January 2006 and December 2013 were retrospectively reviewed, and 22 @entity1 with @entity3626 @entity3 were enrolled. RESULTS: There were 2 primary and 20 secondary cases of @entity3626 @entity3 . Involvement of the jugular nodes was noted before or at the time of @entity3626 @entity3 detection in all cases. A transcervical surgical approach with partial resection of the mandibular angle was performed in 21 @entity1 , while 1 @entity1 underwent extirpation of the @entity3626 @entity3 via a transoral approach. Although curative resection was performed in 21 @entity1 , the @entity3626 @entity3 was not removable in 1 @entity1 owing to an invaded internal carotid artery at the skull base. Twelve and 6 @entity1 had locoregional and distant recurrence, respectively. Of the 12 @entity1 with locoregional recurrence, isolated locoregional recurrence in the @entity3626 occurred in 1. Eight @entity1 died of distant or locoregional recurrence, with a median survival time of 91.7  months. CONCLUSIONS: For @entity1 who experience recurrence after thyroid surgery, the possibility of @entity3626 @entity3 should be considered. In this series, all @entity1 with @entity3626 @entity3 also had previous unilateral or bilateral cervical @entity3 . Despite curative attempt, most @entity1 experienced local or distant recurrence.

Parapharyngeal Metastasis of XXXX .

@entity3557 :: ('MESH:C536915', 'Disease') :: ['papillary thyroid carcinoma', 'PTC'] @entity3626 :: ('MESH:D018489', 'Disease') :: ['parapharyngeal space', 'PPS'] @entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity3 :: ('MESH:D009362', 'Disease') :: ['metastasis']
@entity3557 :: (MESH:C536915,Disease) :: ['Papillary Thyroid Carcinoma']
