c l i n i c a l f o l i o s : n a r r a t i v e





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Papillary Thyroid Carcinoma in a Lateral Neck Mass: 7

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The pointer indicates the phrenic nerve lying on the anterior scalene muscle below the mobilized mass.       

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Papillary Thyroid Carcinoma in a Lateral Neck Mass: 8

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The specimen is shown after completion of the modified neck dissection (sternocleidomastoid and spinal accessory nerve were preserved, see radical neck dissection).       

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Papillary Thyroid Carcinoma in a Lateral Neck Mass: 9

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A total thyroidectomy (see thyroidectomy) was performed. There was no carcinoma found in the thyroid gland. Cases such as this raise the long-debated issue of "lateral aberrant thyroid" tissue vs. a missed primary in the gland.      

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This page was last modified on 8/6/2001.