Neck lesions mimicking thyroid pathology.

Langenbeck's Archives of Surgery
G DonatiniP Miccoli

Abstract

Nodular lesions within the neck may origin from several structures. A misdiagnosed origin may expose the surgeon to inappropriate procedures. These lesions are paradoxically frequent in high specialised centre for endocrine surgery. In the year 2006, three patients were first admitted to our department with a diagnosis of thyroid nodule (1) or lymphatic metastases of thyroid carcinoma (2). The first patient had ultrasound (US) and Tc-99-m scan orienting for thyroid nodule. The two other patients, presented with lateral neck lesion in ipsilateral sincronous and previous diagnosis of papillary thyroid carcinoma, respectively, with US and computed tomography scan confirmed lesion but with a FNA cytology negative for tumoural cells. All three patients underwent surgical exploration. In the first two cases, a whitish tender nodule (4 and 4.5cm), cleavable from surrounding structures, was removed with final histology of Schwannoma and Paraganglioma, respectively. Both patients experienced Bernard Horner Syndrome. In the last patients, a firm grey nodule of 5cm strictly adherent to muscular planes was removed with diagnosis of Castleman's Disease. Nodular neck lesions mimicking a thyroid pathology (thyroid nodules or metastatic lymph ...Continue Reading

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Citations

Oct 15, 2011·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Violet KieuChris G Hobbs
Jul 16, 2015·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Eun Ju HaJeong Hyun Lee
Aug 27, 2013·Journal of Autism and Developmental Disorders·Sara Jane WebbMarissa Westerfield

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