Differential diagnosis of a lateral cervical cyst and solitary cystic lymph node metastasis of occult thyroid papillary carcinoma

Nakagawa, Takayuki; Takashima, Tadayoshi; Tomiyama, Kenta

doi:10.1258/0022215011907109

Cited by 31 publications

(12 citation statements)

References 6 publications

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“…Papillary thyroid carcinoma is characterized by slow growth and indolent biological behavior, but with frequent cervical lymph node metastases. By the time of diagnosis Papillary thyroid carcinoma has already spread to cervical lymph nodes in 20% -50% of patients [3,4]. Wallace and Betsill described that this cervical lymph node metastasis might undergo liquefaction and cystic transformation [5].…”

Section: Discussionmentioning

confidence: 99%

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A Papillary Thyroid Carcinoma Metastasis Mimicking Brachial Cleft Cyst. A Diagnostic Delima. "How We Do It"

Sarmukh¹,

Sm²,

Anita³

et al. 2017

Nur Primary Care

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Thyroid carcinoma usually appears as a nodule in the anterior aspect of the lower neck. Less Frequently, the primary tumor in the thyroid gland is occult and the lymph node metastases present as the sole manifestation of the disease The nodal metastases usually appear in the lateral neck as a solid nodule and rarely in form of a cystic mass Although cystic nodal metastases have been known to pathologists for many years. In this study, we describe a case of cervical cystic lymph node metastases from occult thyroid papillary carcinoma that clinically mimicked as a branchial cleft cyst. We would like to describe the initial clinical evaluation, radiological investigation, immunohistochemical staining such as p63 and role fine needle aspiration of the cystic contain that can determine the nature of the lesion and give a definitive surgical treatment as total thyroidectomy and followed by radioactive iodine ablation and thyroid hormone suppression.

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Section: Discussionmentioning

confidence: 99%

“…Nakagawa et al [3], have described about CT neck contrasted findings between cystic metastatic lymph nodes from papillary thyroid carcinoma and branchial cysts. In cystic metastatic lesion there is a presence of intracystic enhanced elements.…”

Section: Discussionmentioning

confidence: 99%

A Papillary Thyroid Carcinoma Metastasis Mimicking Brachial Cleft Cyst. A Diagnostic Delima. "How We Do It"

Sarmukh¹,

Sm²,

Anita³

et al. 2017

Nur Primary Care

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“…Cystic masses of the neck can also be lymph node metastases from and head and neck tumors [4]. Thyroid cysts are common but thyroid cancers presenting itself as a cystic mass may be due to metastasis to the cervical lymph nodes or as a primary true cystic mass without palpable lesion in the thyroid gland [5].…”

Section: Discussionmentioning

confidence: 99%

Papillary Carcinoma of Thyroid with an Unusual Presentation

Baser

Munjal

Roy

2014

Indian J Otolaryngol Head Neck Surg

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Papillary thyroid carcinoma is well known for its low malignant potential and good prognosis. The outcome can be fatal in patients with low compliance and delayed treatment. Recent advances in ultrasonographic screening and US guided fine needle aspiration biopsy has facilitated early diagnosis of papillary thyroid carcinomas. This epithelial thyroid tumour accounts for more than 80 % of all thyroid tumours. An occult primary carcinoma of thyroid presenting as lymphangioma has been reported rarely. We present a case of a 40-year-old female patient with huge cystic midline swelling on the right side of the neck mimicking lymphangioma on USG. MRI neck showed a cystic mass causing displacement of the trachea and arising from Rt lobe of thyroid gland. Hemithyroidectomy was carried out and histopathology revealed papillary carcinoma. In patients with neck swellings presenting as huge cystic mass the differential diagnosis of Intra cystic variant of papillary carcinoma thyroid and metastatic thyroid papillary carcinoma must always be considered prior to planning surgery.

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“…Due to the increasing incidence of oropharyngeal carcinoma, cystic masses of the neck can also be metastases from an oropharyngeal or tonsillar tumour [4]. Rarely, PTC is presented as a cystic neck mass without palpable lesion in the thyroid gland [5].…”

Section: Discussionmentioning

confidence: 99%

Unusual Presentation of Cystic Papillary Thyroid Carcinoma

Patil

Vijayakumar²,

Natikar³

2012

Case Reports in Endocrinology

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Papillary thyroid carcinoma is the most common thyroid malignancy, accounting for 80% of all thyroid cancers. The most common presentation of thyroid cancer is an asymptomatic thyroid mass or a nodule. Usually as thyroid enlarges, it extends in to mediastinum. Papillary thyroid carcinoma presentation as multiple true cystic swelling extending from neck to anterior chest wall in subcutaneous plane is not present in the literature. We present a rare case of cystic papillary thyroid carcinoma which is presented as subcutaneous swelling with sinus formation.

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Differential diagnosis of a lateral cervical cyst and solitary cystic lymph node metastasis of occult thyroid papillary carcinoma

Cited by 31 publications

References 6 publications

A Papillary Thyroid Carcinoma Metastasis Mimicking Brachial Cleft Cyst. A Diagnostic Delima. "How We Do It"

A Papillary Thyroid Carcinoma Metastasis Mimicking Brachial Cleft Cyst. A Diagnostic Delima. "How We Do It"

Papillary Carcinoma of Thyroid with an Unusual Presentation

Unusual Presentation of Cystic Papillary Thyroid Carcinoma

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