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Acta Clinica Belgica
International Journal of Clinical and Laboratory Medicine
Volume 70, 2015 - Issue 2
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Case Reports

Chain of rings: a radiographic sign of papillary thyroid cancer

Y.-H. JuanDepartment of Medical Imaging and InterventionChang Gung Memorial Hospital, Linkou and Chang Gung University, Taoyuan, Taiwan
,
H.-F. HsuanDepartment of Medical Imaging and InterventionChang Gung Memorial Hospital, Linkou and Chang Gung University, Taoyuan, Taiwan
,
K.-K. NgDepartment of Medical Imaging and InterventionChang Gung Memorial Hospital, Linkou and Chang Gung University, Taoyuan, Taiwan
,
S.-H. NgDepartment of Medical Imaging and InterventionChang Gung Memorial Hospital, Linkou and Chang Gung University, Taoyuan, Taiwan
,
C.-W. YuDepartment of Emergency MedicineChang Gung Memorial Hospital, Keelung and Chang Gung University, Taoyuan, Taiwan
,
H. LiuDepartment of RadiologyGuangdong General Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China
&
Y.-C. LinDepartment of Medical Imaging and InterventionChang Gung Memorial Hospital, Linkou and Chang Gung University, Taoyuan, TaiwanCorrespondence[email protected]
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Pages 124-126 | Published online: 16 Oct 2014
 
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Abstract

Papillary thyroid cancer is the most common form of thyroid malignancy in children and adult with frequent metastases to the cervical lymph nodes. We present a case of metastatic papillary thyroid cancer with remarkable imaging findings of consecutive metastatic calcified lymph nodes resembling a chain of rings. While accompanying by a coarsely calcified thyroid mass, possible thyroid cancer should be considered and serve as a guide to warrant further thyroid cancer evaluation.

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