Hostname: page-component-586b7cd67f-t8hqh Total loading time: 0 Render date: 2024-11-24T13:52:49.936Z Has data issue: false hasContentIssue false

Highly aggressive behaviour of occult papillary thyroid carcinoma

Published online by Cambridge University Press:  29 June 2007

Tsila Hefer*
Affiliation:
Departments of Otorhinolaryngology, Rambam Medical Centre and Technion Faculty of Medicine, Haifa, Israel
Henry Zvi Joachims
Affiliation:
Departments of Otorhinolaryngology, Rambam Medical Centre and Technion Faculty of Medicine, Haifa, Israel
Moshe Hashmonai
Affiliation:
Departments of Surgery B, Rambam Medical Centre and Technion Faculty of Medicine, Haifa, Israel
Yehudith Ben-Arieh
Affiliation:
Departments of Pathology, Rambam Medical Centre and Technion Faculty of Medicine, Haifa, Israel
Jacob Brown
Affiliation:
Departments of and Radiology, Rambam Medical Centre and Technion Faculty of Medicine, Haifa, Israel
*
Dr T. Hefer, Department of Otorhinolaryngology, Rambam Medical Centre, Haifa, Israel.Fax: 972-4-515710

Abstract

Occult papillary thyroid carcinoma is generally associated with an excellent prognosis. Distant metastasis of this tumour is extremely rare. A case of occult papillary thyroid carcinoma with metastases to the lungs, cervical lymph nodes, skeleton, and the brain is reported. The tumour expressed itself in extremely aggressive clinical behaviour and responded only partially to aggressive therapy. The controversial methods of treatment for occult papillary thyroid carcinoma are also discussed.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1995

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Chou, F. F., Sheen-Chen, S. M., Chen, Y. S., Chen, M. J. (1993) Hyperthyroidism and concurrent thyroid cancer. International Surgery 78(4): 343346.Google ScholarPubMed
Flint, A., Davenport, R. D., Lloyd, R. V. (1991) The tall cell variant of papillary carcinoma of the thyroid gland. Archives of Pathology and Larboratory Medicine 115(2): 169171.Google ScholarPubMed
Furmanchuk, A. W., Roussak, N., Ruchti, C. (1993) Occult thyroid carcinoma in the region of Minsk, Belarus: an autopsy study of 215 patients. Histopathology 23(4): 319325.CrossRefGoogle ScholarPubMed
Ley, P. B., Roberts, J. W., Symmonds, R. E. Jr., Hendricks, J. C, Snyder, S. K., Frazee, R. C., Smith, R. W., McKenney, J. F., Brindley, G. V. Jr. (1993) Safety and efficiency of total thyroidectomy for differentiated thyroid carcinoma: a 20-year review. American Surgeon 59(2): 110114.Google Scholar
Lipton, R. J., McCaffery, T. V., van Heerden, J. A. (1987) Surgical treatment of invasion of the upper aerodigestive tract by well-differentiated thyroid carcinoma. American Journal of Surgery 154: 363367.CrossRefGoogle ScholarPubMed
Martinez-Tello, F. J., Martinez-Cabruja, R., Fernandez-Martin, J., Lasso-Oria, C., Ballestin-Carcavilla, C. (1993) Occult carcinoma of the thyroid. A systematic autopsy study from Spain of two series performed with two different methods. Cancer 71(12): 4022–029.3.0.CO;2-O>CrossRefGoogle ScholarPubMed
Matsuda, M., Nagumo, S., Koyama, H., Wada, A. (1991) Occult thyroid cancer discovered by fine-needle aspiration cytology of cervical lymph node: a report of three cases. Diagnostic Cytopathology 7(3): 299303.CrossRefGoogle ScholarPubMed
McCaffery, T. V., Lipton, R. J. (1990) Thyroid carcinoma invading the upper aerodigestive system. Laryngoscope 100(8): 824830.CrossRefGoogle Scholar
Noguchi, S., Noguchi, A., Murakami, N. (1970) Papillary carcinoma of the thyroid. 1: Developing pattern of metastasis. Cancer 26: 10531060.3.0.CO;2-X>CrossRefGoogle Scholar
Pelizzo, M. R., Piotto, A., Rubello, D., Casara, D., Fassina, A., Busnardo, B. (1990) High prevalence of occult papillary thyroid carcinoma in a surgical series for benign thyroid disease. Tumori 76(3): 255257 (in Italian).CrossRefGoogle Scholar
Salvadori, B., Del Bo, R., Pilotti, S., Grassi, M., Cusumano, F. (1993) 'Occult' papillary carcinoma of the thyroid: a questionable entity. European Journal of Cancer 29A(13): 18171820.CrossRefGoogle ScholarPubMed
Sasaki, H., Sirakusa, T., Suzuki, K., Eimoto, T., Okumura, M. (1991) Occult papillary carcinoma of the thyroid presenting as a solitary pulmonary metastasis. Nippon Naibunpi Gakkai Zasshi 67(6): 655665 (in Japanese).Google ScholarPubMed
Takami, H., Kodaira, S. (1993) A rapid immunoperoxidase method for pathological diagnosis of occult thyroid carcinoma. International Surgery 78(3): 225228.Google ScholarPubMed
Vassilopoulou-Sellin, R., Weber, R. S. (1992) Metastatic thyroid cancer as an incidental finding during neck dissection: significance and management. Head and Neck 14(6): 459–63.CrossRefGoogle ScholarPubMed
Witterick, I. J., Abel, S. M., Noyek, A. M., Freeman, J. L., Chapnik, J. S. (1993) Nonpalpable occult and metastatic papillary thyroid carcinoma. Laryngoscope 103(2): 149155.CrossRefGoogle ScholarPubMed
Yamamoto, Y., Maeda, T., Izumi, K., Otsuka, H. (1990) Occult papillary carcinoma of the thyroid: a study of 408 autopsy cases. Cancer 65(5): 11731179.3.0.CO;2-2>CrossRefGoogle ScholarPubMed