Publication Type:

Journal Article


Journal of Clinical and Diagnostic Research, Volume 7, Number 8, p.1745-1746 (2013)



adult, article, autosomal inheritance, calcitonin, calcitonin blood level, carcinoembryonic antigen, case report, cervical aswelling, cervical lymphadenitis, clinical feature, computer assisted emission tomography, contrast enhancement, coughing, Cytology, differential diagnosis, disease course, fever, fluorodeoxyglucose f 18, human, human tissue, image analysis, image display, immunohistochemistry, India, lung infiltrate, lymph node biopsy, lymphadenitis, male, multiple endocrine neoplasia, swelling, thorax radiography, thyroid medullary carcinoma, urine level, vanilmandelic acid, vanilmandelic acid urine level, weight reduction


Cervical lymphadenitis is a common finding in young adults in a country like India, where tuberculosis is endemic. We are presenting the case of a young boy who presented with low grade fever, dry cough, weight loss, and a cervical swelling. His chest X-ray showed diffuse reticulonodular infiltrates. Contrast enhanced CT of chest showed bilateral multiple ring shadows. Cervical lymph node fine needle cytology suggested a metastatic thyroid carcinoma. He was evaluated extensively and a final diagnosis of a familial medullary thyroid carcinoma was made. Medullary thyroid carcinoma should be considered in the differential diagnosis of cervical lymphadenitis with lung infiltrates in young adults. It may be sporadic or a part of an inherited autosomal dominant disorder like multiple endocrine neoplasia. Genetic testing should be done for all patients with a diagnosis of medullary thyroid carcinoma.


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Cite this Research Publication

A. A. Mehta, K. Kumar, S., and Venkitakrishnan, R., “A diagnostic dilemma: A young boy with loss of weight, pulmonary infiltrates and cervical lymphadenitis”, Journal of Clinical and Diagnostic Research, vol. 7, pp. 1745-1746, 2013.