Papillary Thyroid Carcinoma in a Branchial Cleft Cyst without a Thyroid Primary : Navigating a Diagnostic Dilemma
Joint Authors
Sniezek, Joseph C.
Ruhl, Douglas S.
Sheridan, Mark F.
Source
Case Reports in Otolaryngology
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-07-11
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
We report a rare case of papillary thyroid carcinoma incidentally found within a branchial cleft cyst.
Only four other cases have been described in the literature.
A total thyroidectomy and selective neck dissection was performed, and no evidence of occult primary disease was found after review of fine sections.
Branchial cleft cysts are the most common lateral neck masses.
Ectopic thyroid tissue within a branchial cleft cyst is an unusual phenomenon, and papillary thyroid carcinoma arising from this tissue is extremely rare.
Clinicians are left with a diagnostic dilemma when presented with thyroid tissue neoplasm within a neck cyst in the absence of a thyroid primary—is this a case of metastatic disease with a missed primary or rather carcinoma arising in ectopic thyroid tissue? A thorough discussion of the etiologies of these lateral neck masses is reviewed including the embryogenesis of thyroid tissue in a branchial cleft cyst.
The prognosis of patients with papillary thyroid carcinoma in lateral neck cysts without a primary site identified appears to be good following excision of the cyst and total thyroidectomy.
Other management recommendations regarding these unique lateral neck malignancies are also presented.
American Psychological Association (APA)
Ruhl, Douglas S.& Sheridan, Mark F.& Sniezek, Joseph C.. 2013. Papillary Thyroid Carcinoma in a Branchial Cleft Cyst without a Thyroid Primary : Navigating a Diagnostic Dilemma. Case Reports in Otolaryngology،Vol. 2013, no. 2013, pp.1-4.
https://search.emarefa.net/detail/BIM-469469
Modern Language Association (MLA)
Ruhl, Douglas S.…[et al.]. Papillary Thyroid Carcinoma in a Branchial Cleft Cyst without a Thyroid Primary : Navigating a Diagnostic Dilemma. Case Reports in Otolaryngology No. 2013 (2013), pp.1-4.
https://search.emarefa.net/detail/BIM-469469
American Medical Association (AMA)
Ruhl, Douglas S.& Sheridan, Mark F.& Sniezek, Joseph C.. Papillary Thyroid Carcinoma in a Branchial Cleft Cyst without a Thyroid Primary : Navigating a Diagnostic Dilemma. Case Reports in Otolaryngology. 2013. Vol. 2013, no. 2013, pp.1-4.
https://search.emarefa.net/detail/BIM-469469
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-469469