Giant Posttraumatic Cervical Hematoma: Acute Presentation of Papillary Thyroid Carcinoma in an Adolescent.
OBJECTIVE
To describe a rare case of acute presentation of papillary thyroid carcinoma (PTC).


METHODS
A 19-year-old male presented with an expanding cervical mass following blunt trauma. A computed tomography scan revealed a mass suspected to be hematoma that was compressing the vessels and thereby deviating the trachea. Immediate surgery was performed. Neither vascular injury nor active bleeding was seen; instead, a solid, hematoma-like tumefaction in the right thyroid lobe was revealed. A total thyroid lobectomy was performed. A histologic paraffin section confirmed a PTC that was permeated by hematoma.


CONCLUSIONS
This was a unique case of an acute, life-threatening presentation of previously asymptomatic PTC in an adolescent.
Department of Surgery, Faculty of Medicine, University of Belgrade, Belgrade, Serbia.
Miroslav
M
Marković
Ivan
I
Paunović
Marko
M
Dragaš
Vesna
V
Božić
Nikola
N
Ilić
Igor
I
Končar
Lazar
L
Davidović
D002277:Carcinoma / Q000150:complications*; D002291:Carcinoma, Papillary; D006406:Hematoma / Q000150:complications*; D006801:Humans; D008297:Male; D019838:Neck Injuries / Q000150:complications*; D000077273:Thyroid Cancer, Papillary; D013964:Thyroid Neoplasms / Q000150:complications*; D014057:Tomography, X-Ray Computed; D055815:Young Adult