Occult papillary thyroid carcinoma with cystic nodal metastasis mimicking a thyroglossal duct cyst: A case report

摘要

Introduction The approach to the anterior neck lump involves the consideration of numerous benign and malignant differentials. Presentation of case We present a rare case of an occult papillary thyroid cancer with cystic nodal metastases presenting as a thyroglossal duct cyst. Discussion We explore the literature surrounding occult papillary thyroid carcinoma/microcarcinomas and the potential for the disease to present as a cervical lump. There is discussion surrounding the diagnostic and therapeutic difficulties associated with this case, and the importance of lateral thinking and clinical flexibility. Conclusion We recommend that the management approach to any anterior midline neck lump involve a comprehensive work-up including radiological imaging, routine histopathological analysis, and the early involvement of the subspecialty multidisciplinary team.