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KMID : 0371320020620050442
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Journal of the Korean Surgical Society
2002 Volume.62 No. 5 p.442 ~ p.445
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Chronic Actinomycosis of the Cervical Lymph Node Simulating a Thyroid Neoplasm
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Suh Young-Jin
Jung Hun
Chin Hyung-Min
Cho Hyeon-Min
Won Yong-Sung
Kim Joon-Gi
Park Woo-Bae
Chun Chung-Soo
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Abstract
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Actinomycosis in humans is currently a rare disease. Here we report a case of cervicofacial actinomycosis in a 24-year- old man. The patient presented with a painful cervical mass, without symptoms of infection. Clinical features and results of
laboratory and imaging studies of the patient suggested a thyroid neoplasm or subacute thyroiditis. Fine needle aspiration cytology failed to yield a definite diagnosis. The pathologic report after a curative operation confirmed the presence of
the
characteristic sulfur granules in the lymph node just above the left lobe of the thyroid gland. Here we describe this rare case with a review of the typical clinical presentations of actinomycosis on the head and neck, its pathogenesis on the
difficulties encountered in the diagnosis and treatment of the disease.
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KEYWORD
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