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Minimal Invasive Resection of Large Retrosternal Thyroid Goiter
Published on: September 20, 2024
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Lateral neck ectopic thyroid carcinoma: Rare location for ectopic malignancy.
Khadija El Bouhmadi1, Youssef Oukessou1, Sami Rouadi1
1Department of Otolaryngology, Head and Neck Surgery, Ibn Rochd University Hospital, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco.
International Journal of Surgery Case Reports
|December 5, 2021
Summary
A rare case of lateral neck ectopic thyroid papillary carcinoma was identified in a patient with toxic multinodular goiter. This finding highlights the importance of investigating lateral neck masses for ectopic thyroid tissue and potential malignancy.
Area of Science:
- Endocrinology
- Surgical Oncology
- Pathology
Background:
- Lateral neck ectopic thyroid tissue is rare and can develop lesions similar to the orthotopic gland.
- The origin of ectopic thyroid carcinoma (metastatic vs. primary) remains debated, necessitating thorough gland evaluation.
Purpose of the Study:
- To report a rare case of lateral neck ectopic thyroid papillary carcinoma.
- To contribute to the limited literature on the management of this rare entity.
Main Methods:
- Case report of a 36-year-old female with hyperthyroidism, multinodular goiter, and a lateral neck mass.
- Diagnostic workup included thyroid scintigraphy and cervical ultrasound.
- Surgical excision of the lateral neck mass and thyroid gland, followed by histopathological examination.
- Patient received complementary radioactive iodine therapy (RAItherapy).
Main Results:
- Histopathology confirmed papillary carcinoma with extracapsular extension in the orthotopic thyroid gland.
- The lateral neck mass was identified as ectopic thyroid tissue with papillary carcinoma.
- No lymph node metastasis was detected.
Conclusions:
- This case supports the occurrence of primary papillary carcinoma in ectopic thyroid tissue located in the lateral neck.
- Comprehensive evaluation and management strategies are crucial for such rare presentations.
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