Described is an atypical presentation of a rare condition. It highlights the importance of thorough algorithm of medical and family history, physical examination, appropriate investigations and perioperative workup and for surgery. This case raises the awareness that a lateral neck mass (or lateral ectopic thyroid mass) can be benign.
Adrenocortical carcinoma (ACC) is one of the causes for large retroperitoneal masses. Symptoms could be minimal if the tumor is not hormonally active. We describe a case with only dull flank pain as an initial presentation. Imaging studies confirmed a large, irregular mass with central necrosis and calcification.
We present an adult patient with Crouzon syndrome manifesting with facial deformities and panhypopituitarism. Crouzon syndrome is a rare, autosomal dominant genetic disorder characterized by facial bone deformities, such as a prominent nose, frontal bossing, and ocular proptosis, as well as headaches, seizures, and developmental delay.
Thyroid nodules are often incidentally noted on imaging studies with an estimated incidence of 25% on neck CT scan. The presence of a PET-avid thyroid nodule, especially in a patient with a history of malignancy, should prompt evaluation with fine-needle aspiration to evaluate for malignancy given the high probability.