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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.[] A 65-year-old woman presented with a hoarse voice and an enlarging tender mass in the right side of the neck.[] 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[]

  • Injury of the Thyroid Gland

    Subacute lymphocytic thyroiditis is distinguished from subacute thyroiditis by the absence of thyroid pain and tenderness.[] 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.[] cord paralysis.[]

  • Medullary Thyroid Carcinoma

    Sixteen years later, the patient presented with left neck mass detected by ultrasound in the area of thyroid bed.[] 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[] About 30% of patients have vocal cord paralysis, and cervical metastases are palpable on examination in 40% of patients.[]

  • 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[] Physical examination was notable for diffuse thyromegaly and a mildly tender thyroid gland with a palpable right thyroid nodule. There was no cervical lymphadenopathy.[] Rare but worrisome presentations include hoarseness due to vocal cord paralysis and obstruction of the airway or esophagus.[]

  • Thyroid Cyst with Hemorrhage

    Masses in many head and neck sites are amenable to diagnosis by fine needle aspiration (FNA) cytology.[] Multinodular goiter Thyroid cyst or Thyroid adenoma Thyroiditis nodule Subacute thyroiditis Firm or hard, tender thyroid; may be unilateral Usually seen in association with[] 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.[]

  • Hurthle Cell Carcinoma

    Ultrasonography revealed a large, solitary, heterogeneous nodule in the right lobe of the thyroid.[] Dysphagia, dyspnea, voice changes and an apparent mass in the neck are main findings.[] 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.[]

  • Postpartum Thyroiditis

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

  • Thyroid Lymphoma

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

  • Follicular Thyroid Carcinoma

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

  • 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[] She denied any thyroid-related symptoms, including dysphagia, neck mass, palpitations, weight loss or anxiety.[] 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[]

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