Vasculo-Behcet's disease mimicking a metastatic neck mass

This article presents a case of Behcet's Disease (BD) with vascular involvement of the neck, which mimicks a metastatic neck mass in the initial presentation. A 58-year-old man presented with dysphagia, weight loss, bulging on the lateral, wall of the left pyriform sinus, and a firm and fixated neck mass suggestive of metastasis. Computed tomography of the neck demonstrated a solid mass, around the bifurcation of the carotid artery together with a pseudoaneurysm of the left external carotid artery. The mass was about four centimeters in diameter and extended to hypopharynx medially. Biopsy from neck mass and hypopharynx revealed no specific pathology. During follow-up the firm and fixated mass changed into a completely pulsatile one in the following three weeks. Reassessment of the patient's past history in detail revealed that he had had recurrent oro-genital ulcers, arthralgia and recurrent skin lesions. The pathergy test was positive. The patient was diagnosed to be BD and treatment consisting of colchicine 1 mg/day, peroral was started. He had a favorable outcome after treatment and was asymptomatic at follow-up of 24 months. It is unusual for BD to present as a neck mass but yet it must be considered in the differential diagnosis of neck masses. The present case report demonstrates how such a mass may mimic metastatic tumoral involvement and cause diagnostic dilemma. (c) 2005 Tohoku University Medical Press.

Yazar Uzun, L
Ugur, MB
Ulukent, SC
Ozdemir, H
Koca, R
Yayın Türü Article
Tek Biçim Adres https://hdl.handle.net/20.500.12628/3770
Tek Biçim Adres 10.1620/tjem.206.81
Konu Başlıkları Behcet's disease
vasculitis
neck mass
Koleksiyonlar Araştırma Çıktıları | WoS | Scopus | TR-Dizin | PubMed | SOBİAD
PubMed İndeksli Yayınlar Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu
Dergi Adı TOHOKU JOURNAL OF EXPERIMENTAL MEDICINE
Dergi Cilt Bilgisi 206
Dergi Sayısı 1
Sayfalar 81 - 84
Yayın Yılı 2005
Eser Adı
[dc.title]
Vasculo-Behcet's disease mimicking a metastatic neck mass
Yazar
[dc.contributor.author]
Uzun, L
Yazar
[dc.contributor.author]
Ugur, MB
Yazar
[dc.contributor.author]
Ulukent, SC
Yazar
[dc.contributor.author]
Ozdemir, H
Yazar
[dc.contributor.author]
Koca, R
Yayın Yılı
[dc.date.issued]
2005
Yayıncı
[dc.publisher]
TOHOKU UNIV MEDICAL PRESS
Yayın Türü
[dc.type]
article
Özet
[dc.description.abstract]
This article presents a case of Behcet's Disease (BD) with vascular involvement of the neck, which mimicks a metastatic neck mass in the initial presentation. A 58-year-old man presented with dysphagia, weight loss, bulging on the lateral, wall of the left pyriform sinus, and a firm and fixated neck mass suggestive of metastasis. Computed tomography of the neck demonstrated a solid mass, around the bifurcation of the carotid artery together with a pseudoaneurysm of the left external carotid artery. The mass was about four centimeters in diameter and extended to hypopharynx medially. Biopsy from neck mass and hypopharynx revealed no specific pathology. During follow-up the firm and fixated mass changed into a completely pulsatile one in the following three weeks. Reassessment of the patient's past history in detail revealed that he had had recurrent oro-genital ulcers, arthralgia and recurrent skin lesions. The pathergy test was positive. The patient was diagnosed to be BD and treatment consisting of colchicine 1 mg/day, peroral was started. He had a favorable outcome after treatment and was asymptomatic at follow-up of 24 months. It is unusual for BD to present as a neck mass but yet it must be considered in the differential diagnosis of neck masses. The present case report demonstrates how such a mass may mimic metastatic tumoral involvement and cause diagnostic dilemma. (c) 2005 Tohoku University Medical Press.
Açıklama
[dc.description]
WOS: 000228094200010
Açıklama
[dc.description]
PubMed: 15802878
Kayıt Giriş Tarihi
[dc.date.accessioned]
2019-12-23
Açık Erişim Tarihi
[dc.date.available]
2019-12-23
Yayın Dili
[dc.language.iso]
eng
Konu Başlıkları
[dc.subject]
Behcet's disease
Konu Başlıkları
[dc.subject]
vasculitis
Konu Başlıkları
[dc.subject]
neck mass
Haklar
[dc.rights]
info:eu-repo/semantics/openAccess
ISSN
[dc.identifier.issn]
0040-8727
ISSN
[dc.identifier.issn]
1349-3329
İlk Sayfa Sayısı
[dc.identifier.startpage]
81
Son Sayfa Sayısı
[dc.identifier.endpage]
84
Dergi Adı
[dc.relation.journal]
TOHOKU JOURNAL OF EXPERIMENTAL MEDICINE
Dergi Sayısı
[dc.identifier.issue]
1
Dergi Cilt Bilgisi
[dc.identifier.volume]
206
Tek Biçim Adres
[dc.identifier.uri]
https://dx.doi.org/10.1620/tjem.206.81
Tek Biçim Adres
[dc.identifier.uri]
https://hdl.handle.net/20.500.12628/3770
Görüntülenme Sayısı ( Şehir )
Görüntülenme Sayısı ( Ülke )
Görüntülenme Sayısı ( Zaman Dağılımı )
Görüntülenme
5
09.12.2022 tarihinden bu yana
İndirme
1
09.12.2022 tarihinden bu yana
Son Erişim Tarihi
28 Ocak 2024 23:58
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Tıklayınız
treatment revealed hypopharynx fixated present carotid artery follow-up recurrent metastatic patient involvement oro-genital positive asymptomatic outcome favorable ulcers colchicine arthralgia diagnosed lesions started pathergy peroral mg/day consisting Medical University Tohoku dilemma diagnostic tumoral demonstrates report
6698 sayılı Kişisel Verilerin Korunması Kanunu kapsamında yükümlülüklerimiz ve çerez politikamız hakkında bilgi sahibi olmak için alttaki bağlantıyı kullanabilirsiniz.

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