Thyroid Cancer 101: Branchial Cleft Cyst is Really Thyroid Cancer.

Thyroid Cancer 101: Branchial Cleft Cyst is Really Thyroid Cancer.

Thyroid Cancer 101: Branchial Cleft Cyst is Really Thyroid Cancer.

Patient has a large mass in the lateral neck with normal thyroid examination and ultrasound.

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Bulging mass in the lateral right neck.

FNA was negative for cells, but the needle washout for thyroglobulin was very positive at 11,049. N <1.

The treatment included removal of the cyst which was positive for papillary carcinoma metastatic in a lymph node.

Total thyroid removal found multifocal  micro-papillary thyroid cancer.

Neck dissection was positive in 4/26 lymph nodes.

Thyrogobulin needle washout made he diagnosis where the cytology was not helpful.

 

 

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