XXXX Masquerading as Metastatic @entity1377 of the Thyroid.

@entity1 @entity1377 @entity3557 @entity32 @entity353 @entity3298 @entity706 @entity828 @entity4048 @entity3 @entity19865 @entity4841 @entity378 @entity925 @entity221
@entity19865 also known as histiocytic necrotizing @entity3298 is a rare cervical inflammatory @entity3298 that is most commonly seen in young Asian @entity1 . It is mainly characterized by lymphadenopathy, @entity828 , @entity221 , nocturnal sweats, @entity925 , @entity353 , and @entity4841 , and commonly follows a self-limited course. The differential diagnosis is challenging as many other conditions such as @entity706 , @entity3 , @entity378 and infectious lymphadenopathies can present in a similar way. We present an unusual case of @entity19865 masquerading as metastatic @entity1377 of the thyroid. A 30-year-old young female presented, 2 months post-partum, with complaints of @entity4048 and @entity221 . A computed tomography scan showed enlarged right-sided lymph nodes and a thyroid nodule. Subsequent biopsy of a thyroid nodule revealed @entity3557 and reactive @entity32 in one of the lymph nodes. She underwent an elective total thyroidectomy, central node dissection and a right modified lymph node dissection for enlarged lymph nodes. Her recovery was uneventful and the pathology report was consistent with a @entity1377 of the thyroid with one lymph node positive for @entity3 and several other lymph nodes showing histiocytic necrotizing @entity3298 . This coexistence of @entity19865 with localized metastatic @entity3557 is unusual and presents an interesting, challenging, and complex management dilemma.
