Saniasiaya, Jeyasakthy and Mohamad, Irfan
(2016)
A Rare Differential Diagnosis of a Solitary
Anterior Neck Mass.
Oman Medical Journal, 31 (5).
pp. 384-386.
ISSN 1999-768X
Abstract
Patients with anterior neck masses commonly present to otorhinolaryngology clinics,
but there are limited differential diagnoses for such lesions. Common ones include
thyroid nodule and thyroglossal duct cyst. In an elderly patient, a differentiated thyroid
carcinoma should be suspected especially if it moves with swallowing. We encountered a
typical presentation of a solitary thyroid nodule-like mass with the exception of pulsation
in a 65-year-old female. Further investigation, using neck ultrasonography, revealed that
it was a variant of right common carotid artery arising from the left common carotid
artery. Knowledge of such variants is of great importance as ignorance of such a variation
may lead to inadvertent surgical complications during procedures.
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