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British Journal of Radiology (2009) 82, e208-e211
© 2009 British Institute of Radiology
doi: 10.1259/bjr/91644902

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Tuberculous cervical lymphadenitis mimicking metastatic lymph nodes from papillary thyroid carcinoma

E C CHOI, MD 1 W-J MOON, MD 2 and Y C LIM, MD 1,3

1 Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, Departments of 2 Radiology 3 Otorhinolaryngology —Head and Neck Surgery, Konkuk University School of Medicine, Seoul, Korea

Correspondence: Young Chang Lim, Department of Otorhinolaryngology — Head and Neck Surgery, Konkuk University School of Medicine, #1, Hwayang-dong, Gwangin-gu, Seoul, 143–752, Korea. E-mail: ycliment{at}kku.ac.kr

We report two unusual cases of tuberculous lymphadenitis mimicking metastatic lymph nodes from papillary thyroid carcinoma (PTC). Pre-operative ultrasonography of the cervical nodes suggested a metastasis with cystic necrosis and calcification in PTC patients, but permanent pathology revealed tuberculosis lymphadenitis after neck dissection. In cases suspicious for metastatic cervical nodes in patients with PTC, fine-needle aspiration cytology may be indicated for the differential diagnosis of tuberculosis lymphadenitis, especially in those who have experienced tuberculosis in the past.







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