Papillary thyroid carcinoma metastasis most probably due to fine needle aspiration biopsy. A case report.
Implantation of cancer cells from needle biopsy has been reported in a wide range of malignancies. Fine needle aspiration biopsy has become an accepted method for assessment of thyroid nodules. Local reappearance of thyroid cancer from needle track dissemination is a rare complication of thyroid aspiration. A 45-year-old female developed local recurrence of papillary thyroid carcinoma four years after aspiration biopsy and thyroidectomy. Metastatic deposits appeared in the skin and the sternocleidomastoid muscle. The linear array and the site of metastases implied that seeding most probably resulted from the needle biopsy.
Tamiolakis
Demetrio
D
Department of Cytology, Regional Hospital of Chania, Crete, Greece.
Antoniou
Chara
C
Venizelos
John
J
Lambropoulou
Maria
M
Alexiadis
George
G
Ekonomou
Constantine
C
Tsiminikakis
Nikolaos
N
Alifieris
Emmanouel
E
Papadopoulos
Nikolaos
N
Konstandinidis
Theodoros
T
Kouskoukis
Constantine
C
D044963:Biopsy, Fine-Needle / Q000009:adverse effects*; D002291:Carcinoma, Papillary / Q000556:secondary*; D005260:Female; D006801:Humans; D008875:Middle Aged; D019042:Muscle Neoplasms / Q000209:etiology / Q000556:secondary*; D009366:Neoplasm Seeding; D012878:Skin Neoplasms / Q000209:etiology / Q000556:secondary*; D013964:Thyroid Neoplasms / Q000473:pathology*