Papillary Thyroid Carcinoma as a Lateral Neck Cyst: A Cystic Metastatic Node versus an Ectopic Thyroid Tissue

Papillary thyroid carcinoma is the most common thyroid malignancy and frequently metastasizes to regional lymph nodes. Occasionally, metastatic lymph nodes are palpable without the evidence of primary tumour. Papillary thyroid carcinoma of lateral neck cyst is a rare condition. It may arise from thy...

Full description

Bibliographic Details
Main Authors: Frhana Rahmat, Ananth Kumar Marutha Muthu, Navarasi S Raja Gopal, Soh Jo Han, Azura Sharena Yahaya
Format: Article
Language:English
Published: Hindawi Limited 2018-01-01
Series:Case Reports in Endocrinology
Online Access:http://dx.doi.org/10.1155/2018/5198297
_version_ 1798044130334474240
author Frhana Rahmat
Ananth Kumar Marutha Muthu
Navarasi S Raja Gopal
Soh Jo Han
Azura Sharena Yahaya
author_facet Frhana Rahmat
Ananth Kumar Marutha Muthu
Navarasi S Raja Gopal
Soh Jo Han
Azura Sharena Yahaya
author_sort Frhana Rahmat
collection DOAJ
description Papillary thyroid carcinoma is the most common thyroid malignancy and frequently metastasizes to regional lymph nodes. Occasionally, metastatic lymph nodes are palpable without the evidence of primary tumour. Papillary thyroid carcinoma of lateral neck cyst is a rare condition. It may arise from thyroid primary which underwent cystic degeneration or true malignant transformation of ectopic thyroid tissue. Herein, we reported two cases with preoperative diagnosis of benign lateral neck cyst but postoperative histopathological results showed primary papillary thyroid carcinoma. Ultrasonography and computed tomography of the neck in both cases showed no significant thyroid lesion. However, the patient in Case  2 was subjected for total thyroidectomy and histopathological results showed the origin of primary tumour. In conclusion, thorough investigations including total thyroidectomy are indicated in cases of papillary thyroid carcinoma of lateral neck cyst. This practice is to ensure that this type of thyroid cancer can be detected earlier because it has a very good prognosis if treated earlier.
first_indexed 2024-04-11T22:59:52Z
format Article
id doaj.art-cd23e39b572044258d47afe8bee45120
institution Directory Open Access Journal
issn 2090-6501
2090-651X
language English
last_indexed 2024-04-11T22:59:52Z
publishDate 2018-01-01
publisher Hindawi Limited
record_format Article
series Case Reports in Endocrinology
spelling doaj.art-cd23e39b572044258d47afe8bee451202022-12-22T03:58:15ZengHindawi LimitedCase Reports in Endocrinology2090-65012090-651X2018-01-01201810.1155/2018/51982975198297Papillary Thyroid Carcinoma as a Lateral Neck Cyst: A Cystic Metastatic Node versus an Ectopic Thyroid TissueFrhana Rahmat0Ananth Kumar Marutha Muthu1Navarasi S Raja Gopal2Soh Jo Han3Azura Sharena Yahaya4Faculty of Medicine & Defence Health, National Defence University of Malaysia, Sungai Besi Camp, 57000 Kuala Lumpur, MalaysiaPathologist, Hospital Angkatan Tentera Tuanku Mizan, Wangsa Maju, KL, MalaysiaPathologist, Hospital Putrajaya, MalaysiaGeneral Surgeon, Hospital Angkatan Tentera Tuanku Mizan, Wangsa Maju, KL, MalaysiaRadiologist, National Defence University of Malaysia, MalaysiaPapillary thyroid carcinoma is the most common thyroid malignancy and frequently metastasizes to regional lymph nodes. Occasionally, metastatic lymph nodes are palpable without the evidence of primary tumour. Papillary thyroid carcinoma of lateral neck cyst is a rare condition. It may arise from thyroid primary which underwent cystic degeneration or true malignant transformation of ectopic thyroid tissue. Herein, we reported two cases with preoperative diagnosis of benign lateral neck cyst but postoperative histopathological results showed primary papillary thyroid carcinoma. Ultrasonography and computed tomography of the neck in both cases showed no significant thyroid lesion. However, the patient in Case  2 was subjected for total thyroidectomy and histopathological results showed the origin of primary tumour. In conclusion, thorough investigations including total thyroidectomy are indicated in cases of papillary thyroid carcinoma of lateral neck cyst. This practice is to ensure that this type of thyroid cancer can be detected earlier because it has a very good prognosis if treated earlier.http://dx.doi.org/10.1155/2018/5198297
spellingShingle Frhana Rahmat
Ananth Kumar Marutha Muthu
Navarasi S Raja Gopal
Soh Jo Han
Azura Sharena Yahaya
Papillary Thyroid Carcinoma as a Lateral Neck Cyst: A Cystic Metastatic Node versus an Ectopic Thyroid Tissue
Case Reports in Endocrinology
title Papillary Thyroid Carcinoma as a Lateral Neck Cyst: A Cystic Metastatic Node versus an Ectopic Thyroid Tissue
title_full Papillary Thyroid Carcinoma as a Lateral Neck Cyst: A Cystic Metastatic Node versus an Ectopic Thyroid Tissue
title_fullStr Papillary Thyroid Carcinoma as a Lateral Neck Cyst: A Cystic Metastatic Node versus an Ectopic Thyroid Tissue
title_full_unstemmed Papillary Thyroid Carcinoma as a Lateral Neck Cyst: A Cystic Metastatic Node versus an Ectopic Thyroid Tissue
title_short Papillary Thyroid Carcinoma as a Lateral Neck Cyst: A Cystic Metastatic Node versus an Ectopic Thyroid Tissue
title_sort papillary thyroid carcinoma as a lateral neck cyst a cystic metastatic node versus an ectopic thyroid tissue
url http://dx.doi.org/10.1155/2018/5198297
work_keys_str_mv AT frhanarahmat papillarythyroidcarcinomaasalateralneckcystacysticmetastaticnodeversusanectopicthyroidtissue
AT ananthkumarmaruthamuthu papillarythyroidcarcinomaasalateralneckcystacysticmetastaticnodeversusanectopicthyroidtissue
AT navarasisrajagopal papillarythyroidcarcinomaasalateralneckcystacysticmetastaticnodeversusanectopicthyroidtissue
AT sohjohan papillarythyroidcarcinomaasalateralneckcystacysticmetastaticnodeversusanectopicthyroidtissue
AT azurasharenayahaya papillarythyroidcarcinomaasalateralneckcystacysticmetastaticnodeversusanectopicthyroidtissue