Clinical Images - (2015) Volume 3, Issue 1
| Omer Engin1* and Oguzhan Sunamak2 |
| Corresponding Author: Omer Engin, MD,General Surgeon, Buca Seyfi Demirsoy State Hospital, Surgery Department, Izmir, Turkey,Tel: +902322505050, E-mail: omerengin@hotmail.com |
| Related article at Pubmed, Scholar Google |
Introduction |
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| The thyroid cancer may be restricted in to the thyroid tissue. In such cases, bilateral total thyroidectomy is the surgical choice. If thyroid cancer show metastasis to the cervical lymph nodes, then cervical lymph node dissection is necessary. If the lymph node metastasis is diagnosed post-operatively, the dissection should be performed as soon as possible in early period following thyroidectomy. But, if the lymph node metastasis along with thyroid cancer is diagnosed preoperatively, bilateral total thyroidectomy and cervical lymph node dissection is performed together at the same operation [1,2]. | ||
| Fine needle aspiration (FNA) of thyroid tissue may be done for preoperative diagnosis. Cervical ultrasound (US) or cervical CT is generally used imaging methods to search cervical lymph node involvement. In our case, it was reported that the thyroid cancer was diagnosed by FNA and conglomerated cervical lymph nodes were seen on US imaging. Deciding to make total thyroidectomy and cervical lymph node dissection, we performed total thyroidectomy but saw that there was no lymph node metastasis but another tumor of cervical vascular origin during cervical lymph node dissection (Figure 1). We wanted to emphasize here radiologic imaging techniques may have misdiagnosed the vascular tumor as lymph node metastasis in the presence of thyroid cancer and cervical vascular tumor together, even if it is rare [3-5]. | ||
Figures at a glance |
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