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Cervical hematoma following fine needle aspiration of cystic papillary thyroid carcinoma

Published:September 11, 2022DOI:https://doi.org/10.1016/j.amjms.2022.09.004
      A 57-year-old male with untreated hypertension presented with a 6 × 7 cm anterior neck mass for 6 months (Fig. 1a). Neck ultrasound with doppler flow identified a huge cystic mass with a hypervascularity exophytic solid nodule sized 2.7 cm at the left thyroid lobe (Fig. 1b). He had no recent history of taking anti-platelet or other medications. Ultrasound features aroused suspicion of a malignancy in the mural mass (Fig. 1c). Pre-fine needle aspiration (FNA) blood pressure was 164/94 mmHg and oral manidipine 10 mg was given shortly before the procedure. Approximately 55 mL of hemorrhagic fluid was aspirated and followed by FNA of the solid nodule under plain ultrasound-guidance with a 23-gauge needle. Six passes were made into the nodule. Direct compression of the FNA sites was done for a few minutes and he was clinically in good condition immediately after the procedure.
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