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Q J Med 2002; 95: 186-188
© 2002 Association of Physicians

Correspondence

Occult papillary thyroid carcinoma presenting as extrathyroidal solitary neck cyst

S. Aytug and R. Sievert

Division of Endocrinology and Metabolism, Winthrop-University Hospital, SUNY School of Medicine at Stony Brook, Mineola, New York, USA

F.A. Ross

Department of Medicine, Elmhurst Hospital Center, Mount Sinai School of Medicine, Elmhurst, New York, USA

Sir,

Papillary carcinoma of the thyroid gland can undergo cystic transformation. This process may also occur in the metastatic lymph nodes, in which a subcortical liquefaction necrosis results in a cystic mass;1 this is more common in younger patients.2 Occult papillary thyroid carcinomas are usually <1.5 cm across, and account for some 25% of papillary carcinomas.3 Papillary carcinoma of the thyroid can present by regional lymph node metastasis from an occult primary source and (very rarely) may be the first and sole . . . [Full Text of this Article]

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