Intrathyroidal Parathyroid Cancer Presenting as a Left Neck Mass

Thyroid ◽  
1998 ◽  
Vol 8 (7) ◽  
pp. 597-599 ◽  
Author(s):  
DONALD G. CRESCENZO ◽  
MOHSEN SHABAHANG ◽  
DAVID GARVIN ◽  
STEPHEN R.T. EVANS
Keyword(s):  
Neck Mass ◽  
Parathyroid Cancer ◽  
Left Neck

scholarly journals Unusual Pharyngo-Esophageal Dysphagia Caused by a High-Riding Right Brachiocephalic Artery

2021 ◽  
Vol 45 (1) ◽  
pp. 79-82
Author(s):  
Ki Hoon Park ◽  
Sora Baek ◽  
Eun Kyoung Kang
Keyword(s):  
Filling Defect ◽  
Neck Mass ◽  
Solid Food ◽  
Brachiocephalic Artery ◽  
Food Bolus ◽  
Videofluoroscopic Swallowing Study ◽  
Esophageal Dysphagia ◽  
Left Neck ◽  
The Right ◽  
Cervical Area

High-riding right brachiocephalic and subclavian arteries are often asymptomatic and rare vascular variations. We present a patient with high-riding right brachiocephalic and subclavian arteries that caused compressive pharyngeal and cervical esophageal dysphagia. An 82-year-old woman presented to our hospital with dysphagia that worsened with solid food. A pulsatile lump was observed on the right neck side. A videofluoroscopic swallowing study showed a deviated food bolus movement anterolaterally from the normal vertical pharyngoesophageal transition, with a filling defect in the lower pharynx through the upper esophagus. Neck computed tomography (CT) showed high-riding right brachiocephalic and subclavian arteries and a tortuous right common carotid artery located adjacent to the trachea in the cervical area. The cervical midline structures were deviated to the left neck side. A neck mass with vascular variation should be considered as a cause of dysphagia that worsens with solid food; CT should be considered to determine its cause.

scholarly journals Sonography of Primary Cervical Neuroblastoma in the Infant

2021 ◽  
Vol 4 ◽  
pp. 2
Author(s):  
Keeley C. Justice ◽  
Spencer M. Kriss ◽  
Daron G. Davis
Keyword(s):  
Young Child ◽  
Lymph Nodes ◽  
Surgical Resection ◽  
Patient Management ◽  
Neck Mass ◽  
Pathologic Examination ◽  
Left Neck ◽  
Improve Patient Management ◽  
Improve Patient ◽  
Sonographic Imaging

A palpable neck mass in a newborn or young child is overwhelmingly benign but can require additional evaluation to exclude the rare malignant etiology. We present a 10-month-old female with a non-tender, non-erythematous firm nodule in the left neck initially suspected to be enlarged lymph nodes. Sonographic imaging was concerning for a diagnosis of neuroblastoma confirmed by surgical resection and pathologic examination. The sonographic characteristics associated with neuroblastoma are important to recognize to accurately diagnose the neoplasm and improve patient management.

scholarly journals An aggressive case of Warthin-like variant of papillary thyroid carcinoma (PTC)

2021 ◽  
Vol 156 (Supplement_1) ◽  
pp. S51-S51
Author(s):  
M Ali ◽  
S Thomas
Keyword(s):  
Hashimoto Thyroiditis ◽  
Neck Mass ◽  
Good Prognosis ◽  
Braf V600e ◽  
Chronic Lymphocytic Thyroiditis ◽  
Lymphoplasmacytic Infiltrate ◽  
Left Neck ◽  
Post Operation ◽  
Molecular Aberrations ◽  
Extensive Lymph Node

Abstract Introduction/Objective Warthin-like variant of PTC is a rare subtype of PTC, characterized by papillary growth lined with oncocytic neoplastic cells and lymphocytic rich stroma in the stalks of the papillae. It is frequently associated with Hashimoto thyroiditis and has good prognosis due to lower risk of metastasis. An association with BRAF V600E mutation has been reported. Here we report an aggressive case of Warthin-like variant of PTC. Methods/Case Report A 33-year-old Hispanic female presented with a progressively expanding neck mass, difficulty swallowing, voice hoarseness, and neck pain. Ultrasound showed a 3.8 cm left thyroid nodule which on biopsy was positive for PTC. Laboratory tests were positive for anti-peroxidase and anti-thyroglobulin antibodies. A total thyroidectomy was performed. Grossly, the left thyroid lobe nodule was well-circumscribed, unencapsulated, and firm with solid homogenous gray-tan cut surface. Microscopically, the nodule consisted of large eosinophilic cells demonstrating characteristic PTC nuclear features, arranged in papillary structures with the cores packed with prominent lymphoplasmacytic infiltrate consistent with Warthin-like variant of PTC (figure). Separate sub-centimeter foci of PTC with similar features were identified in a background of chronic lymphocytic thyroiditis. Central and left neck dissection showed extensive lymph node metastasis which had features similar to the primary tumor but with less pronounced lymphoplasmacytic cores. The patient is currently 6-month post operation and is receiving iodine ablative therapy. Results (if a Case Study enter NA) NA Conclusion Molecular analysis of the tumor may aid in identifying molecular aberrations responsible for the aggressive nature in this case and potentially guide treatment.

Renal Clear Cell Carcinoma Appearing as a Left Neck Mass

1996 ◽  
Vol 75 (9) ◽  
pp. 620-622 ◽  
Author(s):  
Michael A. Boggess ◽  
T. Oma Hester ◽  
Sanford M. Archer
Keyword(s):  
Cell Carcinoma ◽  
Head And Neck ◽  
Soft Tissues ◽  
Clear Cell ◽  
Clear Cell Carcinoma ◽  
Female Genital Tract ◽  
Neck Mass ◽  
Renal Clear Cell Carcinoma ◽  
Primary Tumors ◽  
Left Neck

Malignant clear cell tumors of the head and neck are uncommon. Primary tumors may arise from the salivary glands, thyroid gland, or parathyroid glands, while metastatic tumors most commonly arise from the lungs, kidneys, and female genital tract. Renal cell carcinoma is the third most common metastatic tumor to the bone and soft tissues of the head and neck. Despite this, there have been few reported cases of renal clear cell carcinoma metastases to the neck. Here we report a unique case of an otherwise asymptomatic young woman with a left neck mass as the first clinical sign of advanced renal clear cell carcinoma.

scholarly journals Combined Tumors in Hematolymphoid Neoplasms: Case Series of Histiocytic and Langerhans Cell Sarcomas Arising From Low-Grade B-Cell Lymphoma

2019 ◽  
Vol 12 ◽  
pp. 2632010X1987841 ◽  
Author(s):  
Stephanie L Skala ◽  
Jing C Ye ◽  
Jennifer Stumph ◽  
William R Macon ◽  
Frances R Quinones ◽  
...  
Keyword(s):  
B Cell ◽  
Case Series ◽  
B Cell Lymphoma ◽  
Neck Mass ◽  
Histiocytic Sarcoma ◽  
Langerhans Cell ◽  
Lymphocytic Leukemia ◽  
Low Grade ◽  
Left Neck ◽  
Combined Tumors

We report an index case of histiocytic sarcoma arising in a 70-year-old patient with long-standing chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL/SLL). The patient presented in 2017 with painful, enlarging swelling of the left neck. He had remote history of cutaneous squamous cell carcinoma with no sign of recurrence, and his CLL/SLL was thought to be in remission. Computed tomography showed mild splenomegaly and multifocal lymphadenopathy including a 3-cm left neck mass. Biopsy of the left neck mass showed CLL/SLL with associated histiocytic sarcoma. Flow cytometry demonstrated a B cell neoplasm with CLL/SLL phenotype. Despite radiation therapy, he expired 3 months after presentation. Two similar cases (CLL/SLL and histiocytic sarcoma, follicular lymphoma and Langerhans cell sarcoma) from another institution are also illustrated. The pathological features of combined tumors in lymphoid neoplasms, a general framework to the work-up to determine interrelatedness of tumor components, and the clinical relevance are discussed.

A Diagnostic Dilemma of Lateral Neck Cyst: A Lesson Learnt

2021 ◽  
Vol 27 (1) ◽  
pp. 92-95
Author(s):  
Dayang Anis Asyikin Ahmad Nazari ◽  
Mohamad Khir Abdullah ◽  
Noorizan Yahya ◽  
Siti Halimahtun Sahab ◽  
Loo Lit Yee ◽  
...  
Keyword(s):  
Papillary Thyroid Carcinoma ◽  
Thyroid Carcinoma ◽  
Metastatic Lymph Node ◽  
Neck Mass ◽  
Cystic Mass ◽  
Lateral Neck ◽  
Papillary Thyroid ◽  
Diagnostic Dilemma ◽  
Appropriate Treatment ◽  
Left Neck

Large cystic mass is an unusual presentation of papillary thyroid carcinoma, accounting for less than 10% of cases. To make a diagnosis of papillary thyroid carcinoma is challenging since the tumour can mimic a benign lateral neck mass. Therefore, a systematical approach to a patient with neck lump is required so that accurate diagnosis and appropriate treatment can be made. We present a case of a 25-year-old female presenting with an asymptomatic left neck cystic mass diagnosed as a metastatic lymph node of papillary thyroid carcinoma only after surgery. Bangladesh J Otorhinolaryngol; April 2021; 27(1): 92-95

scholarly journals Recurrent Chylous Pericardial Effusion and Left Neck Mass

2012 ◽  
Vol 60 (S 02) ◽  
pp. e25-e27 ◽  
Author(s):  
Yolonda Colson ◽  
Denis Gilmore
Keyword(s):  
Pericardial Effusion ◽  
Neck Mass ◽  
Left Neck

Abnormal Fetal Cystic Left Neck Mass

2014 ◽  
Vol 140 (6) ◽  
pp. 573 ◽  
Author(s):  
Zi Yang Jiang ◽  
James Wood ◽  
David Schindel ◽  
Eric Berg
Keyword(s):  
Neck Mass ◽  
Left Neck

Calcifying Fibrous Pseudotumor of the Neck: Diagnostic Challenges of a Rare Benign Lesion

2005 ◽  
Vol 71 (12) ◽  
pp. 1051-1054 ◽  
Author(s):  
Evan B. Goldstein ◽  
Richard H. Savel ◽  
Filiz Sen ◽  
Peter Shamamian
Keyword(s):  
Benign Lesion ◽  
Needle Aspiration ◽  
Neck Mass ◽  
Surgical Removal ◽  
Neck Masses ◽  
Collagenous Tissue ◽  
Supraclavicular Fossa ◽  
Left Neck ◽  
Rare Lesion ◽  
Calcifying Fibrous Pseudotumor

Neck masses, frequently encountered by physicians, comprise a vast range of diagnoses, with malignancy being the greatest concern. Calcifying fibrous pseudotumor (CFP) is a rare lesion with unknown pathogenesis, characterized pathologically by a predominance of abundant hyalinized collagenous tissue with focal lymphoplasmacytic infiltrate and psammomatous or dystrophic calcifications. We present the case of a 29-year-old woman who presented with a 4-cm left neck mass, accompanied by constitutional symptoms of vague weakness and lethargy. After the lesion failed to respond to a course of antibiotic therapy, fine-needle aspiration was performed, the pathology of which was indeterminate. The concern was that the lesion was a lymphoproliferative disorder–further workup was performed. CT of the chest, abdomen, and pelvis revealed no evidence of adenopathy or neoplasms. Subsequently, an incisional biopsy was performed, suggesting a diagnosis of CFP. Magnetic resonance imaging with contrast, performed to delineate the anatomy, revealed the lesion in the left neck, deep to the left clavicle, that extended superiorly into the supraclavicular fossa. Complete surgical removal of the lesion was successfully performed, with immunophenotyping confirming the initial diagnosis of CFP. We present a case report of cervical CFP, discuss the approach to neck masses, and review the recent literature on this rare, benign entity.

AJRTeaching File: Left Neck Mass Evaluated by PET/CT

2011 ◽  
Vol 196 (6_supplement) ◽  
pp. WS78-WS82 ◽  
Author(s):  
Geoffrey B. Johnson ◽  
Patrick J. Peller ◽  
Armita Bahrami ◽  
Rathan M. Subramaniam
Keyword(s):  
Neck Mass ◽  
Pet Ct ◽  
Left Neck
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