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- Title
Papillary thyroid microcarcinoma in Graves' disease presenting as a cystic neck mass.
- Authors
Patil, Milind; Kamalanathan, Sadishkumar; Sahoo, JayaPrakash; Vivekanandan, Muthupillai; Kate, Vikram; Pandit, Nandini; Badhe, Bhawana
- Abstract
The presentation of papillary thyroid microcarcinoma (PTMC) as a solitary cystic neck mass is uncommon. Additionally, its association with Graves' disease is very rare. We report a case of occult PTMC, who presented with a cystic neck mass in the background of Graves' disease without any goiter. Imaging like ultrasound of neck, single photon emission computed tomography-CT (SPECT-CT), and technetium scan failed to detect any lesion in the thyroid, which was picked up only by the contrast-enhanced computed tomography (CECT) of neck. The patient underwent total thyroidectomy with right modified lymph node dissection. Our case highlights the presentation of metastatic PTMC as a differential diagnosis of a cystic neck mass even in a patient with Graves' disease without any thyroid enlargement.
- Subjects
THYROID cancer; GRAVES' disease; HEAD &; neck cancer; LYMPH node surgery; THYROIDECTOMY; SINGLE-photon emission computed tomography
- Publication
Journal of Cancer Research & Therapeutics, 2015, Vol 11, Issue 4, p986
- ISSN
0973-1482
- Publication type
case study
- DOI
10.4103/0973-1482.157316