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66 Possible Causes for Neck Mass, Thyroid Tenderness, Vocal Cord Paralysis

  • De Quervain Thyroiditis

    This disease usually presents with thyroid tenderness, a low grade fever, and occasional dysphagia.[ncbi.nlm.nih.gov] A 65-year-old woman presented with a hoarse voice and an enlarging tender mass in the right side of the neck.[ncbi.nlm.nih.gov] This case illustrates the fact that subacute thyroiditis should be considered as a possible cause of fever even if signs and symptoms of hyperthyroidism and thyroid tenderness[ncbi.nlm.nih.gov]

  • Injury of the Thyroid Gland

    Subacute lymphocytic thyroiditis is distinguished from subacute thyroiditis by the absence of thyroid pain and tenderness.[aafp.org] It often presents as a rapidly expanding neck mass with swallowing and breathing difficulties. Direct invasion of the voice box, trachea and esophagus is common.[kumc.edu] cord paralysis.[en.wikipedia.org]

  • Medullary Thyroid Carcinoma

    Sixteen years later, the patient presented with left neck mass detected by ultrasound in the area of thyroid bed.[ncbi.nlm.nih.gov] When it does produce symptoms, medullary thyroid cancer is unlike other thyroid cancers in that the lumps of medullary thyroid cancer are frequently tender to touch or examination[thyroidcancer.com] About 30% of patients have vocal cord paralysis, and cervical metastases are palpable on examination in 40% of patients.[emedicine.com]

  • Papillary Thyroid Carcinoma

    X-rays Alive with disease 10 (2 cases) 51/M Neck mass No Lung CR 131 I Alive with disease 59/M Neck mass Yes None CR 131 I Alive with disease 11 82/F Neck mass Yes Lung and[jjco.oxfordjournals.org] Physical examination was notable for diffuse thyromegaly and a mildly tender thyroid gland with a palpable right thyroid nodule. There was no cervical lymphadenopathy.[web.archive.org] Rare but worrisome presentations include hoarseness due to vocal cord paralysis and obstruction of the airway or esophagus.[orpha.net]

  • Thyroid Cyst with Hemorrhage

    Masses in many head and neck sites are amenable to diagnosis by fine needle aspiration (FNA) cytology.[nature.com] Multinodular goiter Thyroid cyst or Thyroid adenoma Thyroiditis nodule Subacute thyroiditis Firm or hard, tender thyroid; may be unilateral Usually seen in association with[enotes.tripod.com] The picture on the left shows a larynx with a right true vocal cord paralysis from a laryngeal cancer. The right true vocal cord is shorter than the left.[waent.org]

  • Hurthle Cell Carcinoma

    Ultrasonography revealed a large, solitary, heterogeneous nodule in the right lobe of the thyroid.[ispub.com] Dysphagia, dyspnea, voice changes and an apparent mass in the neck are main findings.[symptoma.com] There was a 3 cm complex mass on the left side of the neck, posterior to the carotid sheath structures and deep to the sternomastoid, indicative of lymph node metastases.[wjso.biomedcentral.com]

  • Postpartum Thyroiditis

    Presentation Subacute thyroiditis : tender thyroid enlarged on one side and may have pain in the throat or otalgia.[patient.info] cord paralysis Hospitalization and treatment with intravenous antibiotics (nafcillin plus gentamicin or a third-generation cephalosporin); abscess formation may necessitate[aafp.org] A tender, irregular thyroid gland may suggest subacute thyroiditis .If hyperthyroidism is suspected, the TSH level should...[evidence.nhs.uk]

  • Thyroid Lymphoma

    Thyroid carcinoma is usually non-tender to palpation. Firm cervical masses are suggestive of regional lymph node metastases.[patient.info] EVIDENCE SYNTHESIS: Primary thyroid lymphoma should be suspected in patients with a rapidly enlarging neck mass, especially in women with Hashimoto's thyroiditis.[ncbi.nlm.nih.gov] The patient presented here had complete recovery of vocal cord function following radiation therapy for a large thyroid lymphoma associated with vocal cord paralysis.[ncbi.nlm.nih.gov]

  • Follicular Thyroid Carcinoma

    The scalp mass was an osteolytic enhancing lesion on imaging studies and diagnosed as metastatic thyroid carcinoma to the skull.[ncbi.nlm.nih.gov] There were no cervical lymphadenopathy or neck masses.[jpmsonline.com] Rare but worrisome presentations include hoarseness due to vocal cord paralysis and obstruction of the airway or esophagus.[orpha.net]

  • Toxic Nodular Goiter

    thyroiditis (painful, de Quervain) Viral infection Painful, tender and swollen gland Malaise, fever, chills, and night sweats Thyrotoxicosis, often followed by hypothyroidism[endocrine.surgery.ucsf.edu] She denied any thyroid-related symptoms, including dysphagia, neck mass, palpitations, weight loss or anxiety.[healio.com] Three months later, since he had no relief of the compressive symptoms, the patient was referred to an ear-nose-throat specialist who detected vocal cord paralysis and requested[karger.com]

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