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Hypervascular neck mass as the initial presentation of papillary thyroid cancer: A case report and review of current literature
BACKGROUND: Papillary Thyroid Carcinoma presenting initially as a hypervascular mass is exceedingly rare. The objective of this paper was to present the rare pathology along with the utilization of multimodal imaging to establish a correct diagnosis along with current management and review of litera...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6928285/ https://www.ncbi.nlm.nih.gov/pubmed/31865231 http://dx.doi.org/10.1016/j.ijscr.2019.12.010 |
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author | Agafonoff, Slava Allamaneni, Shyam Bernstein, Joseph Braverman, Timothy Naqvi, Imran Chuchulo, Anastasya |
author_facet | Agafonoff, Slava Allamaneni, Shyam Bernstein, Joseph Braverman, Timothy Naqvi, Imran Chuchulo, Anastasya |
author_sort | Agafonoff, Slava |
collection | PubMed |
description | BACKGROUND: Papillary Thyroid Carcinoma presenting initially as a hypervascular mass is exceedingly rare. The objective of this paper was to present the rare pathology along with the utilization of multimodal imaging to establish a correct diagnosis along with current management and review of literature. CASE PRESENTATION: We describe a 33 year old male who presented with a left-sided neck mass. CT with contrast of the neck revealed a hypervascular, ring enhancing, complex cystic lesion in the left sub-clavicular and supraclavicular neck deep to the SCM, with accompanying edema. The differential diagnosis was broad and difficult to achieve given the fine needle aspiration biopsy was inconclusive. Eventually, the patient underwent a total thyroidectomy with a left modified radical neck dissection, central neck dissection, and partial resection of sternocleidomastoid muscle. CONCLUSION: A large hypervascular mass presenting as a papillary thyroid carcinoma is difficult to discern but with combination of ultrasonography, soft tissue CT and angiography imaging, along with fine needle aspiration, and possible use of MRI would be successful in narrowing down the differential list to the final diagnosis of papillary thyroid carcinoma, supporting the need for punctual surgical intervention. |
format | Online Article Text |
id | pubmed-6928285 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-69282852019-12-30 Hypervascular neck mass as the initial presentation of papillary thyroid cancer: A case report and review of current literature Agafonoff, Slava Allamaneni, Shyam Bernstein, Joseph Braverman, Timothy Naqvi, Imran Chuchulo, Anastasya Int J Surg Case Rep Article BACKGROUND: Papillary Thyroid Carcinoma presenting initially as a hypervascular mass is exceedingly rare. The objective of this paper was to present the rare pathology along with the utilization of multimodal imaging to establish a correct diagnosis along with current management and review of literature. CASE PRESENTATION: We describe a 33 year old male who presented with a left-sided neck mass. CT with contrast of the neck revealed a hypervascular, ring enhancing, complex cystic lesion in the left sub-clavicular and supraclavicular neck deep to the SCM, with accompanying edema. The differential diagnosis was broad and difficult to achieve given the fine needle aspiration biopsy was inconclusive. Eventually, the patient underwent a total thyroidectomy with a left modified radical neck dissection, central neck dissection, and partial resection of sternocleidomastoid muscle. CONCLUSION: A large hypervascular mass presenting as a papillary thyroid carcinoma is difficult to discern but with combination of ultrasonography, soft tissue CT and angiography imaging, along with fine needle aspiration, and possible use of MRI would be successful in narrowing down the differential list to the final diagnosis of papillary thyroid carcinoma, supporting the need for punctual surgical intervention. Elsevier 2019-12-13 /pmc/articles/PMC6928285/ /pubmed/31865231 http://dx.doi.org/10.1016/j.ijscr.2019.12.010 Text en Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd. http://creativecommons.org/licenses/by/4.0/ This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Agafonoff, Slava Allamaneni, Shyam Bernstein, Joseph Braverman, Timothy Naqvi, Imran Chuchulo, Anastasya Hypervascular neck mass as the initial presentation of papillary thyroid cancer: A case report and review of current literature |
title | Hypervascular neck mass as the initial presentation of papillary thyroid cancer: A case report and review of current literature |
title_full | Hypervascular neck mass as the initial presentation of papillary thyroid cancer: A case report and review of current literature |
title_fullStr | Hypervascular neck mass as the initial presentation of papillary thyroid cancer: A case report and review of current literature |
title_full_unstemmed | Hypervascular neck mass as the initial presentation of papillary thyroid cancer: A case report and review of current literature |
title_short | Hypervascular neck mass as the initial presentation of papillary thyroid cancer: A case report and review of current literature |
title_sort | hypervascular neck mass as the initial presentation of papillary thyroid cancer: a case report and review of current literature |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6928285/ https://www.ncbi.nlm.nih.gov/pubmed/31865231 http://dx.doi.org/10.1016/j.ijscr.2019.12.010 |
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