Whispers in the Neck: Unmasking Cystic Metastases From Hidden Papillary Thyroid Carcinoma
Kelly Lee Pak Hup, Yan Yu Chai, Yi Jing Kaw, Ranveer Singh Gill, Phei Fern Wang
TL;DR
A young woman with a seemingly benign neck cyst was found to have hidden thyroid cancer that had spread to the lymph nodes.
Contribution
This case highlights the potential for occult papillary thyroid carcinoma to present as a cystic neck mass.
Findings
A benign-appearing cystic neck mass was diagnosed as metastatic papillary thyroid carcinoma.
The patient underwent completion thyroidectomy and neck dissection following the diagnosis.
Abstract
Papillary thyroid carcinoma is the most common thyroid malignancy and it frequently causes lymph node metastases. Approximately 50% of patients with papillary thyroid carcinoma have cervical lymph node metastases at the time of their initial presentation. Here we report a case of a young female who presented with a benign-appearing cystic neck mass, which was revealed to be metastases from occult papillary thyroid carcinoma. Completion thyroidectomy and neck dissection were done after the diagnosis of papillary thyroid carcinoma.
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Taxonomy
TopicsThyroid Cancer Diagnosis and Treatment · Head and Neck Anomalies · Cancer Diagnosis and Treatment