A 49-year-old lady presented with a mass in the left lower neck. She had a history of the rapid growth of the same lesion over the last two weeks. There was no history of hyper/hypofunction of the thyroid. She complained of recent onset of pain associated with the swelling radiating to the back of the left ear, along with dysphagia. She had no addiction to tobacco or alcohol.
Physical Examination On examination, the left lobe of the thyroid gland was enlarged (3 cm × 3 cm) with a palpable level IV cervical lymph node. Computed tomography (CT) scan of the neck showed a soft tissue density mass arising from the inferior aspect of the left lobe of the thyroid, extending up to the thoracic inlet and to the right side, with compression of an esophagus. The patient was planned for total thyroidectomy. A thyroidectomy and left sided radical neck dissection were done. Postoperatively,…
