Gopalan Vasundara, Tote Darshana, Deshpande Swati G, Bhargava Abhilasha, Gupta Amol A
General Surgery, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Cureus. 2024 Jul 28;16(7):e65609. doi: 10.7759/cureus.65609. eCollection 2024 Jul.
Neck lumps may indicate metabolic disorders of the parathyroid and thyroid glands commonly present in the anterior aspect of the neck. Some neck lumps are detected as follicular thyroid cancer. Follicular thyroid cancer is a malignant epithelial tumor that shows evidence of follicular cell differentiation but lacks the characteristic nuclear features of papillary thyroid carcinoma (PTC). Iodine-deficient regions have higher rates of follicular carcinoma. There has been a decline in the incidence of this kind of tumor in recent years. As with PTC, prior radiation therapy increases the risk of follicular cancer, but to a lesser extent. In some cases, patients have distant metastases that involve the bones. Follicular cancer is divided into minimally invasive and widely invasive types. Early detection is important. Treatment usually consists of thyroidectomy and radioactive iodine therapy, and hormone replacement therapy may be necessary. Fine needle aspiration cytology is an efficient and cost-effective tool for the diagnosis of neck swelling and has the potential to diagnose the mass. We report the case of a 60-year-old Indian woman who had been experiencing neck swelling for the last 12 years. The neglected neck mass was confirmed as a hyperechoic mass with microcalcifications on ultrasound, representative of metastatic follicular thyroid carcinoma, which further spread to the ribs and the vertebrae. The patient was followed without complications.
颈部肿块可能提示甲状旁腺和甲状腺的代谢紊乱，这些腺体通常位于颈部前方。一些颈部肿块被检测为滤泡状甲状腺癌。滤泡状甲状腺癌是一种恶性上皮肿瘤，表现出滤泡细胞分化的证据，但缺乏乳头状甲状腺癌（PTC）的特征性核特征。缺碘地区滤泡状癌的发病率较高。近年来，这种肿瘤的发病率有所下降。与PTC一样，既往接受放射治疗会增加滤泡状癌的风险，但程度较轻。在某些情况下患者会出现骨转移。滤泡状癌分为微小浸润型和广泛浸润型。早期发现很重要。治疗通常包括甲状腺切除术和放射性碘治疗，可能需要进行激素替代治疗。细针穿刺细胞学检查是诊断颈部肿胀的一种有效且经济高效的工具，有诊断肿块的潜力。我们报告了一例60岁印度女性的病例，她在过去12年中一直有颈部肿胀的症状。被忽视的颈部肿块在超声检查中被确认为有微钙化的高回声肿块，代表转移性滤泡状甲状腺癌，该癌症进一步扩散至肋骨和椎骨。对该患者进行了随访，未出现并发症。
