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Liu Z, Liu X, Xu Q, Lin C. Papillary thyroid carcinoma with shoulder skin metastasis: A case report and literature review. Asian J Surg 2022; 45:1966-1967. [PMID: 35490072 DOI: 10.1016/j.asjsur.2022.04.037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2022] [Accepted: 04/10/2022] [Indexed: 11/25/2022] Open
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2
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Lee MK, Baek JH, Chung SR, Choi YJ, Lee JH, Jung SL. Radiofrequency ablation of recurrent thyroid cancers: anatomy-based management. Ultrasonography 2021; 41:434-443. [PMID: 35189056 PMCID: PMC9262676 DOI: 10.14366/usg.21221] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2021] [Accepted: 12/21/2021] [Indexed: 11/29/2022] Open
Abstract
Although differentiated thyroid cancer has an excellent prognosis and low mortality, its recurrence rate has been reported to be very high. While surgery is recommended as the standard treatment for recurrent thyroid cancer, reoperation may increase the incidence of complications due to fibrosis and anatomical distortion. In patients with high surgical risk or those who refuse repeated surgery, ultrasonography-guided ablation techniques including radiofrequency ablation, ethanol ablation, and laser ablation are suggested as alternative treatments. In this manuscript, we introduce an anatomy-based management concept for radiofrequency ablation for recurrent thyroid cancer, and present a review of the relevant literature, including indications, basic techniques, clinical outcomes, and complications.
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Affiliation(s)
- Min Kyoung Lee
- Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.,Department of Radiology, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
| | - Jung Hwan Baek
- Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
| | - Sae Rom Chung
- Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
| | - Young Jun Choi
- Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
| | - Jeong Hyun Lee
- Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
| | - So Lyung Jung
- Department of Radiology, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
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3
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Tiao J, McGee J, Chung HJ. A Case of Papillary Thyroid Cancer Metastasis to Skin: A Solitary Nodule Next to a Scar. Ann Dermatol 2021; 33:479-480. [PMID: 34616135 PMCID: PMC8460478 DOI: 10.5021/ad.2021.33.5.479] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2020] [Revised: 07/06/2020] [Accepted: 07/22/2020] [Indexed: 12/02/2022] Open
Affiliation(s)
- Janice Tiao
- Department of Dermatology, Boston Medical Center, Boston, MA, United States
| | - Jean McGee
- Department of Dermatology, Beth Israel Deaconess Medical Center, Boston, MA, United States
| | - Hye Jin Chung
- Department of Dermatology, Beth Israel Deaconess Medical Center, Boston, MA, United States
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4
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Abstract
Neoplastic cells originating from a primary cancer can uncommonly spread to the skin, where they suggest a poor prognosis for the patient. In women, melanoma, breast, ovarian, oral cavity, and lung are the most common primary sources; in men, melanoma, lung, colon, and squamous cell carcinoma of the head and neck predominate. The classic presentation of cutaneous metastases is a firm, painless, flesh-colored to an erythematous dermal nodule (or nodules); however, several other presentations, including inflammatory, cicatricial, and bullous lesions, have been reported. Cutaneous metastases may also mimic benign conditions such as lipomas, hemangiomas, or cellulitis. A high degree of clinical suspicion is necessary, and the diagnosis is confirmed by biopsy, which may also be used to establish the primary malignancy if unknown, as the histopathologic appearance of the metastatic tissue may mimic the primary tumor. Treatments include excision of the metastases, chemotherapy, immunotherapy, radiation, and/or palliative care.
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Affiliation(s)
- Joanna Jaros
- Department of Internal Medicine, AMITA St. Joseph Hospital, Joliet, Illinois, USA
| | - Samantha Hunt
- University of Illinois College of Medicine at Chicago, Chicago, Illinois, USA
| | - Eucabeth Mose
- Department of Internal Medicine, Mayo Clinic, Rochester, Minnesota, USA
| | - Olivia Lai
- Department of Dermatology, University of Illinois at Chicago, Chicago, Illinois, USA
| | - Maria Tsoukas
- Department of Dermatology, University of Illinois at Chicago, Chicago, Illinois, USA.
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5
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Monti E, Dono M, Gonella E, Spina B, Pitto F, Petrogalli F, Conte L, Ambrosetti E, Minuto MN, Ansaldo GL, Morbelli S, Zupo S, Giusti M. An H- TERT Mutated Skin Metastasis as First Occurrence in a Case of Follicular Thyroid Carcinoma. Front Endocrinol (Lausanne) 2019; 10:513. [PMID: 31417495 PMCID: PMC6684754 DOI: 10.3389/fendo.2019.00513] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/18/2019] [Accepted: 07/15/2019] [Indexed: 12/21/2022] Open
Abstract
Differentiated thyroid cancer arising from thyroid follicular epithelial cells is the most frequent endocrine malignancy, and skin metastases are very rare. We describe a case of a 70-year-old women with a history of an indeterminate thyroid nodule on cytology. A painless, erythematous skin nodule of about 7 mm diameter was removed from the scalp and diagnosed as a metastasis from thyroid cancer. After total thyroidectomy, a histological diagnosis of follicular thyroid cancer was made. Two cycles of radioactive iodine were performed. Both the follicular thyroid carcinoma (FTC) and the metastasis were investigated for the presence of BRAF/RAS and TERT promoter mutations. The results showed that the cutaneous metastasis was BRAF wild-type and TERT promoter-mutated (position g.1,295,228 C>T); in contrast, the primary thyroid lesion was negative for both molecular markers.
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Affiliation(s)
- Eleonora Monti
- Endocrinology Unit, Department of Internal Medicine (DI.M.I.), IRCCS Ospedale Policlinico San Martino, University of Genoa, Genoa, Italy
- *Correspondence: Eleonora Monti
| | - Mariella Dono
- Molecular Diagnostic Unit, IRCCS Ospedale Policlinico San Martino, Genoa, Italy
| | - Edoardo Gonella
- Molecular Diagnostic Unit, IRCCS Ospedale Policlinico San Martino, Genoa, Italy
| | - Bruno Spina
- Department of Pathology, IRCCS Ospedale Policlinico San Martino, Genoa, Italy
| | - Francesca Pitto
- Department of Pathology, IRCCS Ospedale Policlinico San Martino, Genoa, Italy
| | | | - Lucia Conte
- Endocrinology Unit, Department of Internal Medicine (DI.M.I.), IRCCS Ospedale Policlinico San Martino, University of Genoa, Genoa, Italy
| | - Eleonora Ambrosetti
- Endocrinology Unit, Department of Internal Medicine (DI.M.I.), IRCCS Ospedale Policlinico San Martino, University of Genoa, Genoa, Italy
| | - Michele N. Minuto
- Department of Surgical Sciences (DISC), UO Chirurgia 1 IRCCS Ospedale Policlinico San Martino, University of Genoa, Genoa, Italy
| | - Gian Luca Ansaldo
- Department of Surgical Sciences (DISC), UO Chirurgia 1 IRCCS Ospedale Policlinico San Martino, University of Genoa, Genoa, Italy
| | - Silvia Morbelli
- Department of Nuclear Medicine, IRCCS Ospedale Policlinico San Martino, Genoa, Italy
| | - Simona Zupo
- Molecular Diagnostic Unit, IRCCS Ospedale Policlinico San Martino, Genoa, Italy
| | - Massimo Giusti
- Endocrinology Unit, Department of Internal Medicine (DI.M.I.), IRCCS Ospedale Policlinico San Martino, University of Genoa, Genoa, Italy
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6
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Phelan PS, Mull JL, Rajput MZ, Musiek AC. Concurrent metastases of papillary thyroid carcinoma to the scalp and Meckel's cave. BMJ Case Rep 2018; 2018:bcr-2017-222552. [PMID: 29914897 DOI: 10.1136/bcr-2017-222552] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
We present the case of a 65-year-old man with severe headaches and unilateral facial weakness, seen in consultation by the dermatology service to rule out primary cutaneous melanoma after brain imaging identified an enlarging mass within the right trigeminal (Meckel's) cave. Examination revealed only a pair of erythematous papules on the scalp, for which biopsy demonstrated metastatic papillary thyroid carcinoma. Further evaluation and subsequent thyroidectomy confirmed the origin of widespread internal disease, followed by definitive excision of scalp lesions and multimodal management of systemic involvement. Whereas presentation of metastasis to the skin is highly variable, a low threshold for biopsy may allow for histological identification of internal disease not otherwise considered in the clinical differential.
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Affiliation(s)
- Patrick S Phelan
- Washington University in Saint Louis School of Medicine, Saint Louis, Missouri, USA
| | - Jamie L Mull
- Division of Dermatology, Washington University in Saint Louis School of Medicine, Saint Louis, Missouri, USA
| | - Mohamed Z Rajput
- Washington University in Saint Louis School of Medicine, Mallinckrodt Institute of Radiology, Saint Louis, Missouri, USA
| | - Amy C Musiek
- Division of Dermatology, Washington University in Saint Louis School of Medicine, Saint Louis, Missouri, USA
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Kilic K, Sakat M, Gozeler M, Demirci E. Parotid gland involvement as an initial presentation of papillary thyroid carcinoma. Int J Oral Maxillofac Surg 2017; 46:965-967. [DOI: 10.1016/j.ijom.2017.04.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2016] [Revised: 02/28/2017] [Accepted: 04/06/2017] [Indexed: 10/19/2022]
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Rodríguez-Lomba E, Molina-López I, Parra-Blanco V, Suárez-Fernández R, Ciudad-Blanco C. Cutaneous implantation of papillary thyroid carcinoma secondary to percutaneous ethanol injection into nodal metastasis. J Eur Acad Dermatol Venereol 2017; 32:e11-e13. [PMID: 28653452 DOI: 10.1111/jdv.14440] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
Affiliation(s)
- E Rodríguez-Lomba
- Department of Dermatology, Hospital General Universitario Gregorio Marañón, Madrid, Spain
| | - I Molina-López
- Department of Dermatology, Hospital General Universitario Gregorio Marañón, Madrid, Spain
| | - V Parra-Blanco
- Department of Dermatology, Hospital General Universitario Gregorio Marañón, Madrid, Spain
| | - R Suárez-Fernández
- Department of Dermatology, Hospital General Universitario Gregorio Marañón, Madrid, Spain
| | - C Ciudad-Blanco
- Department of Dermatology, Hospital General Universitario Gregorio Marañón, Madrid, Spain
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9
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Solitary Firm Abdominal Nodule in a 70-Year-Old Woman. Am J Dermatopathol 2016; 38:557-8. [PMID: 27322789 DOI: 10.1097/dad.0000000000000260] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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10
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Kwon H, Kim H, Park S, Song DE, Kim WG, Kim TY, Shong YK, Kim WB. Solitary skin metastasis of papillary thyroid carcinoma. Endocrinol Metab (Seoul) 2014; 29:579-83. [PMID: 25325268 PMCID: PMC4285023 DOI: 10.3803/enm.2014.29.4.579] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/29/2013] [Revised: 12/16/2013] [Accepted: 01/08/2014] [Indexed: 11/16/2022] Open
Abstract
A solitary skin metastasis is a rare manifestation of papillary thyroid carcinoma (PTC). A 55-year-old woman presented with a movable subcutaneous nodule in her anterior neck for several months. Three years ago, she underwent total thyroidectomy and remnant ablation for classical PTC (pT3N0M0) and was under thyroxine suppression therapy without any evidence of recurrent disease. The subcutaneous nodule was 0.4 cm in size, firm, and movable without any change in the overlying skin. Recurrent PTC was confirmed after excision biopsy. Eight months after, she got a new nodule along the previous excision site. After punch biopsy, metastatic PTC was confirmed in the deep dermis and was re-excised with a clear resection margin. This is the first report of a case of solitary skin metastasis of PTC in Korea. Although solitary skin metastasis of PTC is rare, it should be considered in patients with a skin nodule.
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Affiliation(s)
- Hyemi Kwon
- Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
| | - Hyojung Kim
- Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
| | - Sojung Park
- Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
| | - Dong Eun Song
- Department of Pathology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
| | - Won Gu Kim
- Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
| | - Tae Yong Kim
- Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
| | - Young Kee Shong
- Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
| | - Won Bae Kim
- Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
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11
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Ko CJ. Metastatic tumors and simulators. Dermatopathology (Basel) 2014. [DOI: 10.1016/b978-0-7020-5527-0.00026-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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