%0 Journal Article %T Quiste cervical como manifestaci¨®n inicial de un microcarcinoma papilar de tiroides %A Fallas Gonz¨¢lez %A Jorge %A Guzm¨¢n Cervantes %A Rodolfo %A Valverde Monge %A Carlos %A Vald¨¦s Guti¨¦rrez %A Maritza %J Medicina Legal de Costa Rica %D 2012 %I Asociaci¨®n Costarricense de Medicina Forense %X cystic cervical masses are usually benign in the young adult population. however malignant tumors of the head and neck may present ocasionally as cystic metastasis. herein we report a case of a 33 year old female patient, asymptomatic, with a huge cystic cervical mass of 1 year data. the initial diagnosis was a branchial clef cyst, but after imaging studies and histopathologic examination papillary thyroid carcinoma was suspected. this diagnosis was confirmed in an intraoperatory consultation, so a total thyroidectomy, central lymph node dissection and modified radical neck dissection was performed. the final diagnosis on the surgical specimen was a papillary microcarcinoma of the thyroid with cystic lymph node metastasis and the patient received radioactive iodine afterwards %K papillary thyroid carcinoma %K cystic neck masses %K branquial cyst %K lymph node metastasis. %U http://www.scielo.sa.cr/scielo.php?script=sci_abstract&pid=S1409-00152012000100011&lng=en&nrm=iso&tlng=en