Conclusion
In line with the present case, current literature reports a greater
presence of worse prognostic factors, namely extrathyroidal extension,
advanced T stage or presence of cervical lymph node metastasis.
Recently, a new classification has been suggested – Upper Neck
Papillary Thyroid Cancer (UPTC) – which encompasses these carcinomas,
Delphi ganglion metastases and thyroglossal duct cyst carcinomas, with
potential clinical and therapeutic implications, particularly the need
for orthotopic thyroidectomy. Also, the complete excision of the
pyramidal lobe during thyroidectomy may influence the success of
radioactive iodine therapy and the patient’s follow-up surveillance.
Keywords: Thyroid, Thyroid cancer, Pyramidal lobe of thyroid,Lalouette pyramid, Papillary thryroid carcinoma.