Suggested Books To Read During Your General Surgery Residency (Read More)
Bailey & Love's Surgery, 27th Edition Surgery Essence by Pritesh Singh (PGMEE) Sabiston's Textbook of Surgery
Farquharson's Textbook of Operative General Surgery, 10th Edition Surgery Sixer for NBE by Rajamahendran Surgery PreTest Self-Assessment and Review, Thirteenth Edition
, , , , , , ,

A case of locally advanced Papillary Thyroid Cancer with Large Neck Nodes


  • 62 year old Man from a remote village had come with complaints of swellings in neck from past 1 year. The swellings were painless.
  • He had a history of hoarseness of voice, loss of appetite and significant loss of weight.
  • There was an irregular mass in the midline which moves on swallowing.
  • Multiple large fixed nodes were palpable (Left Side - Mid jugular, lower jugular large nodes and Right Side - Multiple small nodes, middle and lower jugular group)
  • On palpation of left side of neck, Berry's sign was positive (Berry’s sign is the absence of carotid pulsation on palpation) 
  • FNAC revealed Papillary Thyroid Carcinoma.


Left Side of Neck



Right Side of Neck