Papillary thyroid cancer nodal metastases mimicking a slow-flow lymphatic malformation
In adults, cystic metastatic nodes from head and neck cancer are well recognised, especially from squamous cell carcinoma and papillary carcinoma. The presence of a thickened wall and/or mural nodularity in a cystic mass should raise the possibility of malignancy, although this cannot be relied on,...
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| creator | Ally, Munira Patel, Neeral Bhatia, Kunwar Awad, Zaid |
| description | In adults, cystic metastatic nodes from head and neck cancer are well recognised, especially from squamous cell carcinoma and papillary carcinoma. The presence of a thickened wall and/or mural nodularity in a cystic mass should raise the possibility of malignancy, although this cannot be relied on, as metastatic nodes can be thin walled and completely cystic. 1 Therefore, any cystic neck mass in the lateral neck in an adult should undergo US-guided FNAC for confirmation. A comprehensive compartmental lymph node dissection with histological diagnosis is required in cases where fine needle aspiration proves inconclusive rather than a simple lymph node excision. |
| doi_str_mv | 10.1136/bcr-2018-225043 |
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The presence of a thickened wall and/or mural nodularity in a cystic mass should raise the possibility of malignancy, although this cannot be relied on, as metastatic nodes can be thin walled and completely cystic. 1 Therefore, any cystic neck mass in the lateral neck in an adult should undergo US-guided FNAC for confirmation. A comprehensive compartmental lymph node dissection with histological diagnosis is required in cases where fine needle aspiration proves inconclusive rather than a simple lymph node excision.</description><identifier>ISSN: 1757-790X</identifier><identifier>EISSN: 1757-790X</identifier><identifier>DOI: 10.1136/bcr-2018-225043</identifier><identifier>PMID: 29982186</identifier><language>eng</language><publisher>England: BMJ Publishing Group LTD</publisher><subject>Adult ; Biopsy ; Case reports ; Diagnosis, Differential ; Dissection ; Ears & hearing ; Head & neck cancer ; Humans ; Images In ; Iodine ; Lymph Nodes - pathology ; Lymphatic Abnormalities - diagnosis ; Lymphatic Metastasis - diagnosis ; Lymphatic system ; Male ; Medical diagnosis ; Medical prognosis ; Metastasis ; Squamous cell carcinoma ; Thyroid cancer ; Thyroid Cancer, Papillary - diagnosis ; Thyroid Cancer, Papillary - pathology ; Thyroid Neoplasms - diagnosis ; Thyroid Neoplasms - pathology</subject><ispartof>BMJ case reports, 2018-07, Vol.2018, p.bcr-2018-225043</ispartof><rights>Author(s) (or their employer(s)) 2018. 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| subjects | Adult Biopsy Case reports Diagnosis, Differential Dissection Ears & hearing Head & neck cancer Humans Images In Iodine Lymph Nodes - pathology Lymphatic Abnormalities - diagnosis Lymphatic Metastasis - diagnosis Lymphatic system Male Medical diagnosis Medical prognosis Metastasis Squamous cell carcinoma Thyroid cancer Thyroid Cancer, Papillary - diagnosis Thyroid Cancer, Papillary - pathology Thyroid Neoplasms - diagnosis Thyroid Neoplasms - pathology |
| title | Papillary thyroid cancer nodal metastases mimicking a slow-flow lymphatic malformation |
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