Papillary Thyroid Carcinoma Presenting as a Cystic Lesion in Neck
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Local lymphatic spread is common in patients with papillary thyroid carcinoma (PTC). Lymph node metastasis to the neck may undergo cystic degeneration which consequently delays the diagnosis and the treatment of underlying thyroid malignancy. In this study we presented a patient with a cystic lesion in the neck as the only finding on physical examination. A benign etiology was considered initially, but papillary thyroid cancer was reported after surgical excision of the lesion.
Papillary thyroid carcinoma (PTC) is the most common type of endocrine tumors and constitutes approximately 1% of all malignancies. It usually presents as a mass in the thyroid gland but presentation as a lump in the neck is not rare. Lymph node metastasis from PTC may rarely undergo cystic transformation. It may be indolent and mimic the clinical course of a benign lesion which consequently delays the diagnosis and treatment of the underlying malignancy. In this study we described a patient presenting with a cervical lymph node as the initial finding.
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Denise Williams
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Journal of Thyroid Disorders & Therapy
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