The Many Faces Of Surgical Thyroid Disease: Rare Presentations With Clinically Normal Necks

Abstract

Surgical thyroid diseases are common in our population, which often present with common presentations. The commonest include neck swelling, either causing a gross distorted neck appearance, or just mild smooth-surfaced asymmetry elevations at paratracheal regions. In can be the swelling in isolation, or combined with the readily exist complication of the mass effect itself [1,2]. On the other hand, physiologically abnormal function of thyroid gland can be detected more readily, based on the typical hyperthyroid or hypothyroid symptoms and signs. Most of the cases that we have encountered with rare presentations are from the malignant lesion, even though benign counterpart is also possible. These cases presented with no neck mass at the usual thyroid locations. Usually it manifest as a sole presentation and only subsequent work-up reveal its thyroid in origin.