갑상선 종양으로 오인된 상위 쇄골하동맥
A High-Riding Subclavian Artery in the Anterior Neck Masquerading as Thyroid Tumor
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Anterior neck mass is a common symptom that is seen in otolaryngology surgery centers. Common types include thyroid tumor and thyroglossal duct cyst. In an elderly patient, a differentiated thyroid carcinoma should be suspected especially if it moves when swallowing. We encountered a typical presentation of a solitary thyroid nodule-like mass without pulsation in an 81-year-old female. We presented a rare diagnosis of pulsatile anterior neck swelling in which a high-riding subclavian artery should be considered as a differential diagnosis. Ultrasonography, Doppler scan, and contrast CT scan revealed that the neck mass corresponds to the high-riding subclavian artery. Therefore, ultrasonography is essential to detect any vascular lesion prior to biopsy or fine needle aspiration cytology as to avoid catastrophic hemorrhage.
Abstract
Anterior neck mass is a common symptom that is seen in otolaryngology surgery centers. Common types include thyroid tumor and thyroglossal duct cyst. In an elderly patient, a differentiated thyroid carcinoma should be suspected especially if it moves when swallowing. We encountered a typical presentation of a solitary thyroid nodule-like mass without pulsation in an 81-year-old female. We presented a rare diagnosis of pulsatile anterior neck swelling in which a high-riding subclavian artery should be considered as a differential diagnosis. Ultrasonography, Doppler scan, and contrast CT scan revealed that the neck mass corresponds to the high-riding subclavian artery. Therefore, ultrasonography is essential to detect any vascular lesion prior to biopsy or fine needle aspiration cytology as to avoid catastrophic hemorrhage.
참고문헌 (12)
- Nugent A, "Cummings otolaryngology - head and neck surgery", pp.1767~1772 (2015), Elsevier Saunders
- Ernemann U, "Current concepts in the classification, diagnosis and treatment of vascular anomalies", Eur J Radiol, 75(1), pp.2~11 (2010)
- Lai SY, "Cummings otolaryngology - head and neck surgery", pp.1901~1928 (2015), Elsevier Saunders
- Wong TW, "Lesions one needs to yell out for diagnosis", Paediatr Respir Rev, 2(4), pp.9~12 (2006)
- Mohamad I, "A pulsating mass in the pre-auricular region", Malays Fam Physician, 9(1), pp.35~36 (2014)
- Upadhyaya PK, "Beware of the aberrant innominate artery", Ann Thorac Surg, 85(2), pp.653~654 (2008)
- Moubayed SP, "High-riding innominate artery encountered during neck surgery", Otolaryngol Head Neck Surg, 151(5), pp.888~889 (2014)
- Gil-Carcedo E, "High-riding innominate artery in neck surgery", Acta Otorrinolaringol Esp, 63(5), pp.396~398 (2012)
- Wong BL, "High riding of brachiocephalic artery : A rare case of pulsatile anterior neck mass", EJENTAS, 18(3), pp.291~293 (2017)
- Polyzos SA, "Clinical complications following thyroid fine-needle biopsy: a systematic review", Clin Endocrinol(Oxf), 71(2), pp.157~165 (2009)
- Pramod S, "Life threatening complication of fine needle aspiration of neck mass in a child : a case report", Int J Otorhinolaryngol Head Neck Surg, 4(3), pp.860~862 (2018)
- Anastasilakis AD, "Subendothelial carotid hematoma after fine-needle aspiration biopsy of a solitary thyroid nodule", J Ultrasound Med, 27(10), pp.1517~1520 (2008)