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Case Reports: Unusual association of diseases/symptoms
Syncope as a rare presentation of papillary thyroid cancer
  1. Gani Nicholas Nuredini1,
  2. Umar Rehman2,
  3. Miljyot Singh Sangha2 and
  4. Alexandros Koukkoullis2
  1. 1Department of Cardiology, Newham University Hospital, London, UK
  2. 2Department of Ear, Nose and Throat Surgery, Whipps Cross University Hospital NHS Trust, London, UK
  1. Correspondence to Dr Gani Nicholas Nuredini; gani.nuredini{at}nhs.net

Abstract

Syncope as a presentation for head and neck cancers is extremely rare. We report a case of a man in his 50s presenting with syncope and a left-sided neck mass. The diagnosis of syncope was secondary to a neck mass compressing the carotid body. After biopsy, it was found to be a metastatic papillary thyroid cancer for which the patient underwent a total thyroidectomy and neck dissection. We describe a workflow protocol for investigating patients presenting with syncope and associated neck mass. The work-up for such patients should include general, cardiological and otolaryngological-specific investigations.

  • Head and neck cancer
  • Ear, nose and throat

https://doi.org/10.1136/bcr-2022-250361

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    Footnotes

    • Contributors GNN and UR are joint first authors and contributed equally and significantly to the conception/acquisition of the case, analysis of the literature and final review of the paper. MSS contributed to the conception, acquisition of the clinical literature, drafting and final approval of the manuscript. AK contributed to the conception/clinical literature search, final write-up and drafting of the paper.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.