PMC7522380_01
The clinical aspect of the mass.
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Physical examination revealed a mass measuring approximately 6 cm in its long axis, at the level of the jugulocarotid region, non-tender, swinging, fistulized to the skin with blood issue (Fig. 1).
MRI shows a heterogeneously enhancing large lesion with, while achieving an aspect of pseudoaneurysm.
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On preoperative cross-sectional imaging with CT + MRI,showed a large heterogeneous enhancing lesion with ill-defined margins on the bifurcation of the carotid artery, while achieving an aspect of pseudoanverysm (Fig. 2).
Intraoperative image.
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Although there was no anatomical connection to the thyroid gland, a total thyroidectomy was performed during the same surgery (Fig. 3).
(A) note here especially numerous nuclear incisions with nuclei increased in size and overlapped and containing a dusty chromatin as well as multiple small nucleoli.. (B) Among the papillary nuclear criteria we note here some intranuclear cytoplasmic pseudo-inclusions (arrows), optically empty nuclei as well as an irregularity of the nuclear membrane by place.
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It is made of tubulopapillary and follicular structure, within a dense fibrocollagenstroma, with a cubo-cylindrical coating, made of cells with moderately eosiniphilic cytoplasm, and with nucleus seat of cytonuclear atypia (Fig. 4).