UNASSIGNED: A 30-year-old female presented with multiple right-side neck swelling for two months. Ultrasonography of right thyroid showed TIRAD V and left thyroid showed TIRAD II. Aspiration cytology of the right thyroid showed Bethesda III and aspiration cytology revealed thyroid follicles. Due to the diagnostic ambiguity, contrast-enhanced CT scan was advised. It revealed a hypervascular lymph node in the parapharyngeal space besides multiple right cervical lymph nodes and later changed the treatment plan.
UNASSIGNED: - Metastasis to parapharyngeal space in Papillary carcinoma of the thyroid is rare and often missed on routine evaluation. Contrast-enhanced CT/MRI can be added as a primary investigation in challenging cases of suspicious malignancy of the thyroid.
■一名30岁的女性出现多发性右侧颈部肿胀两个月。右侧甲状腺超声显示TIRADV,左侧甲状腺显示TIRADII。右侧甲状腺的抽吸细胞学检查显示BethesdaIII,抽吸细胞学检查显示甲状腺滤泡。由于诊断的模糊性,建议进行CT增强扫描.除多个右颈淋巴结外,还发现咽旁间隙有一个血管过多的淋巴结,后来改变了治疗方案。
■-甲状腺乳头状癌向咽旁间隙的转移很少见,在常规评估中经常漏诊。在甲状腺可疑恶性肿瘤的挑战性病例中,可以添加对比增强CT/MRI作为主要检查。