A High-Riding Subclavian Artery in the Anterior Neck Masquerading as Thyroid Tumor
10.11106/ijt.2020.13.1.51
- Author:
Dae Hwan KIM
1
;
Somi RYU
;
Seongjun WON
;
Jung Je PARK
Author Information
1. Department of Otorhinolaryngology, College of Medicine, Gyeongsang National University, Gyeongsang National University Hospital, Jinju, Korea
- Publication Type:CASE REPORT
- From:International Journal of Thyroidology
2020;13(1):51-54
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Anterior neck mass is a common symptom that is seen in otolaryngology surgery centers. Common types include thyroid tumor and thyroglossal duct cyst. In an elderly patient, a differentiated thyroid carcinoma should be suspected especially if it moves when swallowing. We encountered a typical presentation of a solitary thyroid nodule-like mass without pulsation in an 81-year-old female. We presented a rare diagnosis of pulsatile anterior neck swelling in which a high-riding subclavian artery should be considered as a differential diagnosis. Ultrasonography, Doppler scan, and contrast CT scan revealed that the neck mass corresponds to the high-riding subclavian artery. Therefore, ultrasonography is essential to detect any vascular lesion prior to biopsy or fine needle aspiration cytology as to avoid catastrophic hemorrhage.
