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A CASE OF OCCULT PAPILLARY CARCINOMA OF THE THYROID PRESENTING AS CERVICAL LYMPHADENOPATHY

PANNEER SELVAM .

Abstract


Abstract :
A small percentage of papillary thyroid cancers present with
enlarged lymph nodes in the jugular chain with no palpable
abnormality of the thyroid. The primary tumour may be no
more than a few milli-meters in size and is often termed
occult. We report a case of 36-year-old female who presented
with swelling in the right side of neck for two years duration.
Clinically thyroid appeared normal. Ultrasound and CECT
showed multiple level 2,34 lymph nodes on right side of the
neck with normal thyroid. FNAC from the node showed papillary
carcinoma of thyroid. Total thyroidectomy with Right
modified radical neck dissection was done. The HPE was
reported as papillary carcinoma of thyroid with metastasis to
cervical lymph nodes. The case is presented for its rarity and
the importance of suspicion of occult thyroid malignancy in
the setting of cervical lymphadenopathy.
Keyword :OCCULT PAPILLARY CARCINOMA, LATERAL
ABERRANT THYROID


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