[Ectopic primitive thyroid papillary carcinoma: report of a fatal case and review of literature].
One percent of excised thyroglossal duct remnants exhibit histologic malignancy, a thyroid papillary carcinoma in 80% of the cases. The prognosis is excellent except for anaplastic types. We report the case of a 44-year-old woman with primitive thyroid papillary carcinoma diagnosed histologically as thyroglossal cyst. Its unusual aggressiveness produced local and regional spread, metastases and the patient's death in spite of treatment: Sistrunk operation, local excision of a recurrence and laryngothyroidectomy. Thyroid histology revealed the absence of carcinomatous foci. We discuss the most noteworthy aspects of the case in relation to other reports.
Cervera-Paz
F J
FJ
Departamento de Cirugía, Area de ORL, Universidad de Cádiz.
Roquette Gaona
J
J
Bartual Pastor
J
J
D000328:Adult; D002291:Carcinoma, Papillary / Q000473:pathology* / Q000601:surgery; D002574:Cervical Vertebrae / Q000473:pathology; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007822:Laryngeal Neoplasms / Q000556:secondary; D007825:Laryngectomy; D007828:Laryngoscopy; D007830:Larynx / Q000473:pathology; D008175:Lung Neoplasms / Q000556:secondary; D009362:Neoplasm Metastasis; D009364:Neoplasm Recurrence, Local; D013955:Thyroglossal Cyst / Q000175:diagnosis* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D014826:Vocal Cord Paralysis
Carcinoma papilar primitivo de quiste tirogloso: aportación de un caso letal y revisión de la literatura.