A Case of a Huge Lateral Neck Mass as the Initial Presentation of Thyroid Carcinoma

거대한 단발성 측경부 종물로 나타난 전이성 갑상선암 1례

  • Sohn Jin-Ho (Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Daegu-Hyosung-Catholic University, Daegu-Hyosung-Catholic Hospital) ;
  • Park Jae-Yul (Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Daegu-Hyosung-Catholic University, Daegu-Hyosung-Catholic Hospital) ;
  • Kim Kwang-Hoon (Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Daegu-Hyosung-Catholic University, Daegu-Hyosung-Catholic Hospital) ;
  • Sung Nak-Kwan (Department of Radiology, College of Medicine, Daegu-Hyosung-Catholic University, Daegu-Hyosung-Catholic Hospital)
  • 손진호 (대구효성가톨릭대학교 의과대학 이비인후과학교실) ;
  • 박재율 (대구효성가톨릭대학교 의과대학 이비인후과학교실) ;
  • 김광훈 (대구효성가톨릭대학교 의과대학 이비인후과학교실) ;
  • 성낙관 (대구효성가톨릭대학교 의과대학 방사선과학교실)
  • Published : 1999.05.01

Abstract

We experienced a case of the papillary thyroid carcinoma seen as a huge solid lateral neck mass. The mass grew very slowly over the period of 30years up to 10cm in diameter while relatively well sparing the surrounding tissues. Physical examinations, CT scan, and fine needle aspiration cytology did not reveal any strong suggestions for evidence of malignancy. But it was pathologically diagnosed as metastatic thyroid carcinoma by excisional biopsy. We emphasize that for a large solitary neck mass which persists for several decades, head and neck surgeons should always keep in mind the possibility of metastasis from the malignancy of thyroid gland.

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