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Transoral Robotic Total Thyroidectomy and Bilateral Central Regional Lymph Node Dissection for Papillary Thyroid Carcinoma
Published on: September 15, 2023
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Papillary Thyroid Carcinoma With Breast and Bone Metastasis
Dan Zhang1, Xiao-Ling Zhu2, Jun Jiang1
1Department of General Surgery (Thyroid Surgery), the Affiliated Hospital of Southwest Medical University, Sichuan Province, China.
Ear, Nose, & Throat Journal
|December 8, 2022
Summary
Papillary thyroid carcinoma, though typically having a good prognosis, can rarely present with widespread metastases. This case highlights a 11-year course of advanced papillary thyroid carcinoma with multiple organ involvement.
Area of Science:
- Oncology
- Endocrinology
Background:
- Papillary thyroid carcinoma is the most common thyroid malignancy.
- It typically exhibits a favorable prognosis with cervical lymph node metastasis being most common.
- Distant metastasis is considered rare.
Purpose of the Study:
- To report a rare case of papillary thyroid carcinoma with extensive multiple organ metastases.
- To analyze the survival rate and median survival time of such advanced cases.
Main Methods:
- Case report of a female patient with papillary thyroid carcinoma.
- Literature review for survival data analysis of similar cases.
Main Results:
- The patient presented with metastases in cervical lymph nodes, breast, and spine.
- The disease course spanned 11 years, ultimately leading to death from metastatic cancer.
- Analysis of literature data on survival rates for papillary thyroid carcinoma with multiple organ metastases was performed.
Conclusions:
- Papillary thyroid carcinoma can rarely present with aggressive, multi-organ metastatic disease.
- Survival in such advanced cases is significantly impacted by the extent of metastasis.
- Further research into prognostic factors for rare metastatic patterns is warranted.

