Neck nodular lesions mimicking thyroid tumors.
OBJECTIVE
Neck nodular lesions may derive from several different tissues, often mimicking thyroid tumor in the preoperative examination.


METHODS
We described three patients admitted in 2012 to the Department of Endocrine Surgery in Wrocław with nodular lesion in the neck area mimicking tumor of the thyroid gland.


RESULTS
In the first patient with a tumor in projection on the isthmus and the left thyroid lobe, neurilemmoma was discovered in the histopathological exams. In the second one with the suspicion of papillary thyroid carcinoma, adenoid cyst carcinoma was identified in the pathological examination. In the third case, suspected to being a recurrent or split goiter, non-specific, chronic lymphonodulitis was recognized in the final histology.


CONCLUSIONS
Appropriate and careful diagnostics of a nodular lesion in the neck before surgery has crucial significance for choosing optimal method of surgical treatment which has great influence on mortality rate and reducing complications.
Department of General, Gastroenterological and Endocrine Surgery, Medical University Wrocław, Poland. beatawojtczak@wp.pl.
Beata
B
Wojtczak
Department of General, Gastroenterological and Endocrine Surgery, Medical University Wrocław, Poland.
Krzysztof
K
Sutkowski
Department of General, Gastroenterological and Endocrine Surgery, Medical University Wrocław, Poland.
Mateusz
M
Glod
Department of General, Gastroenterological and Endocrine Surgery, Medical University Wrocław, Poland.
Piotr
P
Czopnik
Department of Pathomorphology, Medical University Wrocław, Poland.
Marta
M
Rzeszutko
Department of Endocrinology, Diabetology and Isotope Therapy, Medical University Wroclaw, Poland.
Aleksandra
A
Jawiarczyk-Przybylowska
Department of Endocrinology, Diabetology and Isotope Therapy, Medical University Wroclaw, Poland.
Marek
M
Bolanowski
D000328:Adult; D000368:Aged; D002277:Carcinoma / Q000175:diagnosis* / Q000473:pathology; D003528:Carcinoma, Adenoid Cystic / Q000175:diagnosis* / Q000473:pathology; D002291:Carcinoma, Papillary; D003937:Diagnosis, Differential; D005260:Female; D006042:Goiter / Q000175:diagnosis* / Q000473:pathology; D006801:Humans; D009333:Neck / Q000473:pathology; D009442:Neurilemmoma / Q000175:diagnosis* / Q000473:pathology; D000077273:Thyroid Cancer, Papillary; D013961:Thyroid Gland / Q000473:pathology; D013964:Thyroid Neoplasms / Q000175:diagnosis* / Q000473:pathology