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Case Report
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| An unusual presentation of papillary thyroid carcinoma in the lateral aspect of the neck | ||||||
| Ghassan Almaimani1, Frank Forst2, Thomas Zoedler3, Bayan Almaimani4 | ||||||
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1MBBS, Resident, Department of Surgery, Main-Kinzig-Clinics, Gelnhausen, Hessen, Germany.
2Consultant Surgeon, Main-Kinzig-Clinics, Gelnhausen, Hessen, Germany. 3Doctorate, Consultant Surgeon, Head of Department, Main-Kinzig-Clinics, Gelnhausen, Hessen, Germany. 4MBBS, Resident, Maternity and Children Hospital, Makkah, Saudi Arabia. | ||||||
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| How to cite this article |
| Almaimani G, Forst F, Zoedler T, Almaimani B. An unusual presentation of papillary thyroid carcinoma in the lateral aspect of the neck. Int J Case Rep Imag 2016;7(5):296–299. |
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Abstract
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Introduction:
Papillary thyroid carcinoma (PTC) is the most common thyroid cancer. Papillary thyroid carcinoma presenting as a lateral neck mass in the presence of a normal thyroid is extremely rare. Ectopic thyroid tissue can arise in the lateral aspect of the neck, and, therefore, PTC may arise at this site in ectopic tissue. Alternatively, cervical cystic lymph node metastasis may be a first presentation of occult PTC.
Case Report: A case of a 28-year-old male was referred for investigation of a painless left-sided neck swelling. Excisional biopsy revealed PTC, and completion surgery revealed papillary microcarcinoma and a further lymph node metastasis in the definitive resection specimen. Conclusion: This case highlights that PTC always needs to be considered in the differential diagnosis of lateral neck swellings even in presence of a normal thyroid. Establishing the exact etiology of lateral cystic PTC can be challenging. | |
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Keywords:
Cervical lymph node, Lateral neck, Metastasis, Papillary thyroid cancer
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Author Contributions
Ghassan Almaimani – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Frank Forst – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Final approval of the version to be published Thomas Zoedler – Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published Bayan Almaimani – Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2016 Ghassan Almaimani et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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