Concurrent Papillary Thyroid Carcinoma and Synovial Carcinoma of the Neck in an Adult Male

Iftikhar, Haissan and Akhtar, Shabbir and Uddin, Nasir (2019) Concurrent Papillary Thyroid Carcinoma and Synovial Carcinoma of the Neck in an Adult Male. Iranian Journal of Otorhinolaryngology, 31 (1). pp. 69-72.

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Abstract

Introduction: Synovial sarcoma makes up 8–10 of all soft tissue sarcomas, and constitutes 3–10 of all sarcomas occurring in the head and neck region. It shows male predominance (3:2), and the mean age of presentation is 30 years. Case Report: A 51-year-old gentleman presented with right-sided neck swelling which had been progressively increasing in size for the past 2 years. A computed tomography (CT) scan revealed a large heterogeneously enhancing mass on the right side of the neck measuring 7.5 × 6.2 cm. Biopsy of an enlarged node revealed papillary thyroid carcinoma. The patient subsequently underwent total thyroidectomy with right neck dissection. Final histopathology revealed a papillary carcinoma of the thyroid, and the right-sided mass was shown to be monophasic synovial sarcoma. Conclusion: We present a case of a concurrent pathology of neck papillary thyroid carcinoma with monophasic synovial sarcoma. We experienced difficulty in diagnosis and misdirection due to raised C-reactive protein (CRP) levels, until final histopathology of the neck mass.

Item Type: Article
Subjects: WV Otolaryngology
Divisions: Journals > Iranian J Otorhinolaryngology
Depositing User: ijo ijo
Date Deposited: 14 Apr 2019 05:01
Last Modified: 14 Apr 2019 05:01
URI: http://eprints.mums.ac.ir/id/eprint/11352

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