ISSN: 2161-1017
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Güleser Saylam
Turkey
Research Article
Occult Multifocal Thyroid Papillary Carcinoma with Cystic Lymph Nodes Metastases
Author(s): Bekir Ucan, Muhammed Kizilgul, Mustafa Ozbek, Mustafa Caliskan, Güleser Saylam and Erman Cakal
Bekir Ucan, Muhammed Kizilgul, Mustafa Ozbek, Mustafa Caliskan, Güleser Saylam and Erman Cakal
Background: Papillary thyroid microcarcinoma presenting as cystic lymphadenopathy as a first and sole sign has rarely been reported. When the nodal metastasis is cystic, with no apparent suspicious thyroid mass on ultrasound (US) it may be misdiagnosed as benign cystic masses. An accurate pre-operative diagnosis is essential since the management of these two conditions is different.
Case report: A 32-year-old woman was referred to our endocrinology outpatient clinic for evaluation of a neck mass. Ultrasonography (USG) showed 3 lymph nodes, the largest one being 6×19×22 mm (conglomerate lymphadenopathy) in size with a cystic component divided by septa, a complex echo, microcalcifications and undistinguishable echogenic hilum, in the right side adjacent to the carotid artery. However, the thyroid USG has not revealed any abnormalit.. View More»
DOI:
10.4172/2161-1017.1000276