Total Pageviews

Sunday, 9 February 2014

CASE 234: A LATERAL MASS of the NECK, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM



Man 56 yo for a long time being follow up with thyroid nodule, now he detected the palpable mass on right neck,  sited at middle SCM.
Ultrasound suspected lymph node with B mode ultrasound (image 1,2: thyroid nodule) on right side of the neck.



For ruling out a thyroid cancer, a FNAC was performed for the thyroid mass and the result was colloidal goiter.


MRI of the neck also suspected this mass between carotid internal and external arteries ( 2 MRI pictures).



For diagnosing this neck mass we did CDI for guiding FNAC, but this mass was very high vasculature and situated between ICA and ECA. (See 2 CDI images  of cross section and longitudinal scanning this mass).



MSCT ANGIO was done to see carotid artery on right side was encarcerated by this tumor with very high vascular structure.
Diagnosis is CAROTID BODY TUMOR ( See 3 MSCTA images).




 
Operation  removed  completely  this  tumor in safety and  microscopic  with  immmunohisto staining  report  that  a  paraganglioma  tumor.

REFERENCE:


No comments :