Neck Mass as Primary Manifestation of Multiple Myeloma Originating in the Thyroid Cartilage

2002 ◽  
Vol 126 (3) ◽  
pp. 326-328 ◽  
Author(s):  
Menachem Gross ◽  
Ron Eliashar ◽  
Petia Petrova ◽  
Abraham Goldfarb ◽  
Jean-Yves Sichel
Keyword(s):  
Multiple Myeloma ◽  
Thyroid Cartilage ◽  
Neck Mass

scholarly journals Multiple Myeloma of the Thyroid Cartilage

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Peter Kalina ◽  
Jeffrey B. Rykken
Keyword(s):  
Multiple Myeloma ◽  
Maxillary Sinus ◽  
Plasma Cell ◽  
Thyroid Cartilage ◽  
Autologous Stem Cell Transplant ◽  
Neck Mass ◽  
Cell Transplant ◽  
Plasma Cell Neoplasm ◽  
Prognostic Implications ◽  
Left Maxillary Sinus

A 60-year-old male presented with hoarseness. His past medical history was remarkable for a plasmacytoma of the left maxillary sinus having been resected without systemic evidence of plasma cell myeloma (PCM), also known as multiple myeloma (MM), at the time. This maxillary sinus disease recurred and was treated with radiation. Workup for PCM was conducted. Treatment included melphalan and autologous stem cell transplant. Because of the therapeutic and prognostic implications, a Plasma cell neoplasm (PCN) in a neck mass must be carefully evaluated by clinical and pathological criteria in order to distinguish plasmacytoma from PCM. PCN involvement of the thyroid cartilage is very rare, with only 5 previously reported cases.

Laryngeal Chondroma: A Benign Process with Long-Term Clinical Implications

1996 ◽  
Vol 75 (8) ◽  
pp. 540-549 ◽  
Author(s):  
L. D. Chiu ◽  
Barry M. Rasgon
Keyword(s):  
English Language ◽  
Cricoid Cartilage ◽  
Thyroid Cartilage ◽  
Benign Neoplasm ◽  
Surgical Excision ◽  
Neck Mass ◽  
Biomedical Literature ◽  
Low Grade ◽  
Common Location

Chondroma of the laryngeal cartilage is a rare, benign neoplasm which can manifest as a neck mass or, if situated within the airway, as slowly progressive obstruction, hoarseness or dyspnea. The most common location for chondroma is the posterior lamina of the cricoid cartilage; the next most common locations are the thyroid, arytenoid and epiglottic cartilages. Chondroma and low-grade chondrosarcoma are difficult to distinguish from one another histologically. Although chondrosarcoma reportedly recurs, local surgical excision without radical margins and with long-term clinical follow-up is recommended. We report one case of thyroid cartilage chondroma and include a review of radiologic studies and histopathologic analysis results. We also report a second case with severe airway obstruction caused by a large cricoid chondroma. A review of the English language biomedical literature on laryngeal chondroma is included.

scholarly journals External Laryngocoele or Anterior Jugular Vein Aneurysm (A Rare Clinical Entity): A Paradox Solved by A Few Simple Non-Invasive Radiological Tests

2018 ◽  
Vol 26 (1) ◽  
pp. 73-75
Author(s):  
Somesh Mozumder ◽  
Shirish Dubey ◽  
Aniruddha Dam ◽  
Anup Kumar Bhowmick
Keyword(s):  
Jugular Vein ◽  
Thyroid Cartilage ◽  
Neck Mass ◽  
Venous Aneurysm ◽  
Valsalva Manoeuvre ◽  
Breath Holding ◽  
Provisional Diagnosis ◽  
Non Invasive ◽  
Mediastinal Tumours ◽  
The Common

Introduction     The differential diagnosis of a cystic upper neck mass that becomes prominent on coughing, straining, breath holding, or Valsalva manoeuvre includes mediastinal tumours and cysts, external laryngeal diverticula, and jugular venous aneurysms. Jugular venous aneurysms, while extremely rare, must be considered. We report the fifth case of anterior jugular aneurysm in an adult patient.   Case Report   A 55 year old female patient presented with a swelling in the upper part of right side of neck near the greater cornu of hyoid bone. The swelling increased with Valsalva, straining and while stooping forward. Clinically it was thought to be an external laryngocoele. However Colour Doppler Ultra-sonography and C.T angiogram of neck established it as of anterior jugular venous aneurysm by distinguishing from external laryngocoele.   Discussion   Patient presenting with unilateral cystic swelling in upper neck at upper border of thyroid cartilage which clinically bears the common provisional diagnosis of external laryngocele must be differentiated radiologically from anterior jugular venous aneurysm, (though rare in occurrence) to avoid a catastrophic incident during surgery.

18F-FDG and 18F-NaF PET/CT Findings of a Multiple Myeloma Patient With Thyroid Cartilage Involvement

2015 ◽  
Vol 40 (11) ◽  
pp. 873-876 ◽  
Author(s):  
Aylin Oral ◽  
Bulent Yazici ◽  
Özgür Ömür ◽  
Melda Comert ◽  
Guray Saydam
Keyword(s):  
Multiple Myeloma ◽  
Thyroid Cartilage ◽  
Myeloma Patient ◽  
Multiple Myeloma Patient ◽  
Ct Findings ◽  
Pet Ct ◽  
18F Fdg

scholarly journals Papillary Thyroid Carcinoma Within Thyroglossal Duct Cyst

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. A895-A896
Author(s):  
Raghda Al Anbari ◽  
Majlinda Xhikola ◽  
Sushma Kadiyala
Keyword(s):  
Thyroid Gland ◽  
Total Thyroidectomy ◽  
Thyroid Cartilage ◽  
Thyroid Tissue ◽  
Neck Mass ◽  
Thyroglossal Duct Cyst ◽  
Papillary Thyroid ◽  
Anterior Neck ◽  
Duct Cyst ◽  
Thyroglossal Duct

Abstract A 55-year-old female with medical history of hypothyroidism and fibrocystic disease of the breast presented with complains of a painful anterior neck mass, difficulty swallowing and hoarseness of the voice. Symptoms had progressed over a period of 5 months. CT neck with contrast indicated the presence of an ectopic thyroid tissue anterior to the thyroid cartilage measuring approximately 1.7 x 1.2 x 3.1 cm, with indistinct inferior margins and internal calcifications. The hyoid bone or thyroid cartilage had no irregularities. The thyroid gland itself was unremarkable except for small complex thyroid nodules in both lobes. No masses within the pharynx or larynx were noted. Family history was significant for lymphoma in her father. On physical exam, a hard, mobile right anterior neck mass was appreciated. Labs showed normal TSH of 1.05 uIU/mL and normal free T4 of 1.2 ng/dL. Further evaluation with a dedicated neck US showed a right submandibular mass, superior to the thyroid, lobulated and heterogeneous measuring 2.0 x 1.0 x 2.3 cm with multiple areas of calcifications and internal Doppler flow. The thyroid gland had normal size and texture with bilateral sub centimeter non-concerning nodules. After ENT evaluation and an unremarkable flexible fiberoptic nasolaryngoscope, patient underwent surgical excisional biopsy of the neck mass. Pathology was consistent with thyroglossal duct cyst with the presence of thyroid follicles. An incidental finding of a 0.9 cm papillary microcarcinoma was noted, which was encapsulated with focal extracapsular follicular structures showing papillary nuclear features with no perineural or lymphovascular invasion. The tumor cells were immunoreactive for TTF-1 and PAX8. Development of papillary thyroid cancer within the thyroglossal duct cyst is a rare event, reportedly occurring in 1% of thyroglossal duct cysts. There are no well-established management guidelines. Current management strategies consist of monitoring with serial neck ultrasound versus total thyroidectomy with consideration of postsurgical I-131 treatment, based on pathology results. Our patient opted for undergoing total thyroidectomy.

scholarly journals Thyroid cartilage involvement in patient affected by IgA multiple myeloma: Case report

2008 ◽  
Vol 35 (2) ◽  
pp. 288-290 ◽  
Author(s):  
Francesco Dispenza ◽  
Daniela Sciandra ◽  
Carmelo Saraniti
Keyword(s):  
Multiple Myeloma ◽  
Case Report ◽  
Thyroid Cartilage

scholarly journals Solitary Fibrous Tumor of the Larynx and Anterior Neck

2019 ◽  
Vol 34 (1) ◽  
pp. 64-67
Author(s):  
Guinevere S. Pabayos ◽  
Armando M. Chiong
Keyword(s):  
Solitary Fibrous Tumor ◽  
Thyroid Cartilage ◽  
Upper Airway ◽  
Needle Aspiration ◽  
Neck Mass ◽  
Anterior Neck ◽  
Neck Masses ◽  
Airway Opening ◽  
Fibrous Tumor ◽  
The Right

Whether benign or malignant, laryngeal and neck masses may involve the upper airway and obstruct breathing. While surgically-resectable malignancies are generally extirpated with adequate margins of normal tissue, benign lesions are usually excised conservatively. However, even benign masses may behave malignantly, necessitating more aggressive surgical resection. We present one such case.   CASE REPORT   A 35-year-old man from Cotabato City consulted due to difficulty of breathing.  He had a six-year history of progressively enlarging anterior neck mass with intermittent dyspnea, foreign body sensation, progressive dysphagia and hoarseness over the last three months. Physical examination revealed a well-defined, 5 x 6 cm smooth, firm, non-tender anterior neck mass that moved with deglutition.  Rigid endoscopy showed a right supraglottic mass with bulging of the right glottic and subglottic area, with a less than 10% airway opening. (Figure 1A) Both arytenoids were visibly mobile, but glottic closure was impaired. (Figure 1B) Tracheostomy and suspension laryngoscopy with biopsy yielded inconclusive results (fibromuscular tissue) and fine needle aspiration cytology (FNAC) of the anterior neck mass only revealed blood and colloid. Contrast computed tomography of the neck showed a well-marginated, hypodense, thick-walled, heterogeneously enhancing mass in the right laryngeal fossa measuring 2.86 x 1.78 cm with a larger extension anteriorly measuring 4.66 x 2.52 cm.  Effacement of the epiglottis and aryepiglottic fold was noted.  The hyoid and thyroid cartilage were intact, and the thyroid gland was normal.  (Figure 2A, B)   Because of inconclusive histopathological and cytological results, an incision biopsy of the anterior neck mass was performed.  Histopathological evaluation revealed spindle cell mesenchymal proliferation, and immunohistochemical stains showed positive immunoreactivity for CD34, with a weakly positive S-100 and negative SMA, favoring a solitary fibrous tumor.  

scholarly journals Thyroglossal duct cyst masquerading as a laryngocele

2019 ◽  
Vol 12 (3) ◽  
pp. e228319 ◽  
Author(s):  
Renee Booth ◽  
Ashwini Milind Tilak ◽  
Sugoto Mukherjee ◽  
James Daniero
Keyword(s):  
Thyroid Cartilage ◽  
Thyroid Tissue ◽  
Operative Management ◽  
Paediatric Population ◽  
Neck Mass ◽  
Cystic Mass ◽  
Careful Consideration ◽  
Duct Cyst ◽  
Thyroglossal Duct ◽  
Preoperative Ct

Thyroglossal duct cysts (TGDCs) are the most common congenital neck mass and often present in the paediatric population as a painless mass in the midline. A lateralised neck mass presenting for the first time in an adult may raise more concern for malignancy or a laryngocele. A 50-year-old man presented with an asymptomatic right level II neck mass adjacent to the thyroid cartilage. Preoperative CT revealed a cystic mass right of the midline with an intralaryngeal component. Intraoperatively, the lesion tracked towards the central hyoid bone; a Sistrunk procedure was performed. Postoperative pathology revealed a small foci of thyroid tissue within the mass. Careful consideration of the origin of this unusually presenting TGDC enabled appropriate operative management.

Sign in / Sign up

Export Citation Format

Share Document