SESSION TITLE: Student/Resident Case Report Poster - Pulmonary Manifestations of Systemic Disease I
SESSION TYPE: Student/Resident Case Report Poster
PRESENTED ON: Tuesday, October 25, 2016 at 01:30 PM - 02:30 PM
INTRODUCTION: The differential diagnosis of neck masses can be divided into congenital, inflammatory and neoplastic processes.
CASE PRESENTATION: A 56 y.o.f. with past medical history of HTN,CHF NYHA class 1,initially presented to the ED in early march of 2014 with SOB secondary to rapidly enlarging neck mass. Patient reports she first noted a midline neck swelling in 2013 but as not causing her discomfort.Patient underwent CT of the neck showing large aggressive appearing soft tissue mass arising from the thyroid gland with substernal extension into the mediastinum. The mass invaded the trachea and esophagus and encased the L common carotid artery proximally, R innominate, R subclavian and R common carotid arteries. Scattered clustered prominent in size cervical lymph nodes were present and suspicious for metastatic disease. Thyroid US showed a lobulated heterogenous thyroid gland, isthmus measuring 3 cm, R lobe 10x7x5cm and L lobe 8x6x3cm. FNA of the thyroid gland was performed and showed atypical histiocytic proliferation. Shortly after diagnosis, the patient received chemotherapy followed by XRT therapy with good response. She was discharged home for follow up.