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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...

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Autores principales: Agafonoff, Slava, Allamaneni, Shyam, Bernstein, Joseph, Braverman, Timothy, Naqvi, Imran, Chuchulo, Anastasya
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
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.
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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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