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A Rare Case of Neck Metastasis from a Thyroid Papillary Carcinoma After Seventeen Years Diagnosed with US-Guided Fine Needle Aspiration Cytology

Received: 21 July 2017     Accepted: 16 August 2017     Published: 7 September 2017
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Abstract

Thyroid papillary carcinoma represents a quite indolent and relatively frequent malignant tumor of the thyroid gland. Most lesions have a good prognosis, with excellent disease-free survival after thyroidectomy [1-3]. In this report it’s described a case of papillary carcinoma metastases with onset after 17 years from the first intervention. Some speculations are made regarding the reasons of the particular course of papillary carcinoma in this female patient. Clinical and anamnestic conditions together with B-RAF V600E point mutation could be responsible of a more aggressive biological potential.

Published in International Journal of Clinical Oncology and Cancer Research (Volume 2, Issue 5)
DOI 10.11648/j.ijcocr.20170205.12
Page(s) 106-109
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2017. Published by Science Publishing Group

Keywords

Thyroid, Papillary Carcinoma, Aspiration Cytology

References
[1] Giordano D et al. Lateral neck recurrence from papillary thyroid carcinoma: Predictive factors and prognostic significance. Laryngoscope. 2015 Sep; 125(9): 2226-31. doi: 10.1002/lary.25094.
[2] Calò PG et al. Total thyroidectomy alone versus ipsilateral versus bilateral prophylactic central neck dissection in clinically node-negative differentiated thyroid carcinoma. A retrospective multicenter study. Eur J Surg Oncol. 2017 Jan; 43(1): 126-132. doi: 10.1016/j.ejso.2016.09.017.
[3] Kim H et al. Patterns of Initial Recurrence in Completely Resected Papillary Thyroid Carcinoma. Thyroid. 2017 Jul; 27(7): 908-914. doi: 10.1089/thy.2016.0648.
[4] Pisello F et al. Neck node dissection in thyroid cancer. A review. G Chir Vol. 31 - n. 3 - pp. 112-118, 2010.
[5] Kim JW et al. Extent of Extrathyroidal Extension as a Significant Predictor of Nodal Metastasis and Extranodal Extension in Patients with Papillary Thyroid Carcinoma. Ann Surg Oncol. 2017 Feb; 24(2): 460-468. doi: 10.1245/s10434-016-5594-4.
[6] Feng-Hsuan Liu et al. Postoperative recurrence of papillary thyroid carcinoma with lymph node metastasis. J Surg Oncol. 2015 Aug 1; 112(2): 149–154.
[7] Kam-Tsun T. et al. BRAF Mutation in Papillary Thyroid Carcinoma: Pathogenic Role and Clinical Implications. J Chin Med Assoc • March 2010 • Vol 73 • No 3.
[8] Chuping L et al. Associations between BRAFV600E and prognostic factors and poor outcomes in papillary thyroid carcinoma: a meta-analysis. World J Surg Oncol. 2016; 14(1): 241.
[9] Walts A. E. BRAF genetic heterogeneity in papillary thyroid carcinoma and its metastasis. Hum Pathol. 2014 May; 45(5): 935-41. doi: 10.1016/j.humpath.2013.12.005.
[10] Chereau N. et al. Prognosis of papillary thyroid carcinoma in elderly patients after thyroid resection. A retrospective cohort analysis. Medicine (2016) 95: 47(e5450).
Cite This Article
  • APA Style

    Stefania Erra, Antonella Lancella, Jessica Rotella, Simona Ricotta, Eleonora Mazzoni, et al. (2017). A Rare Case of Neck Metastasis from a Thyroid Papillary Carcinoma After Seventeen Years Diagnosed with US-Guided Fine Needle Aspiration Cytology. International Journal of Clinical Oncology and Cancer Research, 2(5), 106-109. https://doi.org/10.11648/j.ijcocr.20170205.12

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    ACS Style

    Stefania Erra; Antonella Lancella; Jessica Rotella; Simona Ricotta; Eleonora Mazzoni, et al. A Rare Case of Neck Metastasis from a Thyroid Papillary Carcinoma After Seventeen Years Diagnosed with US-Guided Fine Needle Aspiration Cytology. Int. J. Clin. Oncol. Cancer Res. 2017, 2(5), 106-109. doi: 10.11648/j.ijcocr.20170205.12

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    AMA Style

    Stefania Erra, Antonella Lancella, Jessica Rotella, Simona Ricotta, Eleonora Mazzoni, et al. A Rare Case of Neck Metastasis from a Thyroid Papillary Carcinoma After Seventeen Years Diagnosed with US-Guided Fine Needle Aspiration Cytology. Int J Clin Oncol Cancer Res. 2017;2(5):106-109. doi: 10.11648/j.ijcocr.20170205.12

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  • @article{10.11648/j.ijcocr.20170205.12,
      author = {Stefania Erra and Antonella Lancella and Jessica Rotella and Simona Ricotta and Eleonora Mazzoni and Eugenio Carlon},
      title = {A Rare Case of Neck Metastasis from a Thyroid Papillary Carcinoma After Seventeen Years Diagnosed with US-Guided Fine Needle Aspiration Cytology},
      journal = {International Journal of Clinical Oncology and Cancer Research},
      volume = {2},
      number = {5},
      pages = {106-109},
      doi = {10.11648/j.ijcocr.20170205.12},
      url = {https://doi.org/10.11648/j.ijcocr.20170205.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcocr.20170205.12},
      abstract = {Thyroid papillary carcinoma represents a quite indolent and relatively frequent malignant tumor of the thyroid gland. Most lesions have a good prognosis, with excellent disease-free survival after thyroidectomy [1-3]. In this report it’s described a case of papillary carcinoma metastases with onset after 17 years from the first intervention. Some speculations are made regarding the reasons of the particular course of papillary carcinoma in this female patient. Clinical and anamnestic conditions together with B-RAF V600E point mutation could be responsible of a more aggressive biological potential.},
     year = {2017}
    }
    

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    AU  - Stefania Erra
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    AB  - Thyroid papillary carcinoma represents a quite indolent and relatively frequent malignant tumor of the thyroid gland. Most lesions have a good prognosis, with excellent disease-free survival after thyroidectomy [1-3]. In this report it’s described a case of papillary carcinoma metastases with onset after 17 years from the first intervention. Some speculations are made regarding the reasons of the particular course of papillary carcinoma in this female patient. Clinical and anamnestic conditions together with B-RAF V600E point mutation could be responsible of a more aggressive biological potential.
    VL  - 2
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Author Information
  • Department of Surgical Pathology, Santo Spirito Hospital, Casale Monferrato (Al), Italy

  • Department of Otorhinolaryngology, Santo Spirito Hospital, Casale Monferrato (Al), Italy

  • Student in Biology, University of Oriental Piedmont, Alessandria, Italy

  • Student in Biology, University of Oriental Piedmont, Alessandria, Italy

  • Department of Surgical Pathology, Santo Spirito Hospital, Casale Monferrato (Al), Italy

  • Department of Radiology, Santo Spirito Hospital, Casale Monferrato (Al), Italy

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