✦ LIBER ✦

Thyroid carcinoma presenting as a regional neck mass

✍ Scribed by Dr. Moses Nussbaum; Dr. Roman Bukachevsky

Publisher: John Wiley and Sons
Year: 1990
Tongue: English
Weight: 326 KB
Volume: 12
Category: Article
ISSN: 1043-3074
DOI: 10.1002/hed.2880120204

No coin nor oath required. For personal study only.

✦ Synopsis

During 1978During -1988, we treated 197 , we treated 197

patients with thyroid carcinoma. Twenty-seven patients (14.0%) presented with a regional cervical mass and a clinically normal thyroid gland on initial evaluation. Excisional biopsy proved the diagnosis of metastatic thyroid carcinoma in every patient. Subsequent thyroid scans were 42% sensitive. Only 3 patients underwent fine-needle aspirations; none showed evidence of malignant cells. Review of surgical specimens showed total involvement of the gland in 13 of 17 cases, with extracapsular spread of tumor in 3 patients.

Multicentric disease was present in all but 2 neck specimens. Patient follow-up from 1 month to 10 years revealed an 1 1.5% recurrence rate. The results in this group of patients is compared to the larger group of thyroid carcinoma patients, where three recurrences were found in 170 patients presensting with a clinically palpable mass in the thyroid gland. Analysis of our population comparing the subgroup with the larger series of thyroid carcinoma patients suggests that thyroid carcinoma presenting as a regional neck mass is a more aggressive disease.

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