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KMID : 0371320000580040580
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Journal of the Korean Surgical Society
2000 Volume.58 No. 4 p.580 ~ p.584
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A Case of a Metastatic Papillary Thyroid Carcinoma Presenting as a Lateral Neck Cyst
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류재현/Jai Hyun Rhyou
문병인/유정현/구혜수/김옥영/Byung In Moon/Jeong Hyun Yoo/Hye Soo Koo/Ok Young Kim
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Abstract
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A case of a papillary thyroid carcinoma presenting as a cystic lateral neck mass is reported. A 73-year-old woman presented with a painless swelling of the right side of the neck which had been noticed for 60 years. The soft tissue mass was
clinically
and sonographically thought to be branchial cleft cyst. However, excisional biopsy showed it to be a cystic lymph-node metastasis from a papillary thyroid carcinoma. Two weeks later, a total thyroidectomy was performed, but no malignant lesion
was
found
in the thyroid. This case of a metastatic papillary thyroid carcinoma to the lateral neck node mimiced a branchial cleft cyst. In old age, a lateral neck cyst being a cystic metastasis, as well as a benign cyst, should be considered so a careful
preoperative evaluation is neccessary.
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