Successful treatment of a locally invasive cryptococcoma mimicking primary thyroid cancer with fluconazole.
A patient with no immune compromise and no constitutional or pulmonary symptoms presented with an enlarging neck mass abutting the thyroid gland and extending through the pleura into the lung. Microbiologic evaluation revealed a diagnosis of cryptococcoma, and the patient responded well to oral fluconazole therapy. To the authors' knowledge, this is the first case describing a locally invasive cryptococcoma mimicking a primary thyroid malignancy in the absence of systemic symptoms.
Kagan
Evgenia
E
Department of Medicine, Hollings Cancer Center, Medical University of South Carolina, Charleston, 29425, USA.
Madden
Matthew B
MB
Parsons
Chris H
CH
D000935:Antifungal Agents / Q000627:therapeutic use*; D003453:Cryptococcosis / Q000175:diagnosis / Q000188:drug therapy*; D003455:Cryptococcus neoformans; D003937:Diagnosis, Differential; D005260:Female; D015725:Fluconazole / Q000627:therapeutic use*; D006801:Humans; D008875:Middle Aged; D013959:Thyroid Diseases / Q000175:diagnosis* / Q000382:microbiology; D013964:Thyroid Neoplasms / Q000175:diagnosis*
D000935:Antifungal Agents; D015725:Fluconazole