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Pathology Quiz Case
Elizabeth J. Rosen, MD;
Shawn D. Newlands, MD, PhD;
Bill A. Rampy, DO, PhD
University of Texas Medical Branch, Galveston
Arch Otolaryngol Head Neck Surg. 2003;129:679.
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A 28-YEAR-OLD Hispanic woman presented with a 12-month history of a slowly enlarging, nontender mass in the left side of her neck. She was otherwise healthy and denied any associated upper aerodigestive tract symptoms. She had been referred from an outside institution, where a computed tomographic scan had revealed a 2.5 x 2.3-cm enhancing mass in the left side of level III. A fine-needle aspirate of the mass demonstrated a well- to moderately well–differentiated adenocarcinoma with papillary features. Immunohistochemical staining was weakly positive for thyroglobulin and cytokeratin and negative for chromogranin.
The patient was taken to the operating room for excision of the mass and a possible thyroid lobectomy. Intraoperative examination revealed a well-encapsulated, firm mass measuring approximately 3.0 x 2.0 cm. The mass abutted the superior pole of the thyroid lobe, but a definitive connection . . . [Full Text of this Article]
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