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  • Title: Metastatic papillary thyroid carcinoma presenting as a typical branchial cyst.
    Author: McDermott ID, Watters GW.
    Journal: J Laryngol Otol; 1996 May; 110(5):490-2. PubMed ID: 8762327.
    Abstract:
    Two cases of papillary thryoid carcinoma presenting as a cystic lateral neck mass are reported. This tumour characteristically presents in patients under 40-years-old and in the presence of an occult primary tumour may mimic a branchial cyst. In such cases simple aspiration of the cyst will produce a chocolate-brown serous fluid which excludes the diagnosis of a branchial cyst and is characteristic of papillary thyroid carcinoma. Cytological examination of the fluid has a high degree of sensitivity and specificity in the diagnosis of thyroid malignancy and should avoid delay in diagnosis and unnecessary surgical exploration prior to definitive treatment.
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