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Late recurrence of papillary thyroid cancer from needle tract implantation after core needle biopsy: A case report

BACKGROUND: Papillary thyroid cancer (PTC) has good prognosis so that the local recurrence or distant metastasis can occur later on the lifetime follow up. In this study, we report recurrence of PTC in subcutaneous area combined with lymph node metastasis. A suspicion of needle tract implantation af...

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Autores principales: Kim, Yon-Hee, Choi, In-Ho, Lee, Jong-Eun, Kim, Zisun, Han, Sun-Wook, Hur, Sung-Mo, Lee, Jihyoun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Baishideng Publishing Group Inc 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7809670/
https://www.ncbi.nlm.nih.gov/pubmed/33511188
http://dx.doi.org/10.12998/wjcc.v9.i1.218
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author Kim, Yon-Hee
Choi, In-Ho
Lee, Jong-Eun
Kim, Zisun
Han, Sun-Wook
Hur, Sung-Mo
Lee, Jihyoun
author_facet Kim, Yon-Hee
Choi, In-Ho
Lee, Jong-Eun
Kim, Zisun
Han, Sun-Wook
Hur, Sung-Mo
Lee, Jihyoun
author_sort Kim, Yon-Hee
collection PubMed
description BACKGROUND: Papillary thyroid cancer (PTC) has good prognosis so that the local recurrence or distant metastasis can occur later on the lifetime follow up. In this study, we report recurrence of PTC in subcutaneous area combined with lymph node metastasis. A suspicion of needle tract implantation after core needle biopsy was found. CASE SUMMARY: A 66-year-old female patients who underwent right thyroid lobectomy for PTC complained of palpable nodule on anterior neck area. The location of the palpable nodule was not associated with her postoperative scar. After excision of the skin tumor, it was diagnosed as recurrence of PTC. Furthermore, results of subsequent imaging showed lymph node metastasis on her right cervical area. According to the previous medical records, the patient received core needle biopsy through the neck of the patient midline and hematoma was noted after the procedure. The time interval from the first diagnosis to local recurrence or metastasis to the skin and lymph nodes was ten years. As treatment, the patient underwent lymph node dissection in the right and completion thyroidectomy for radioisotope treatment. CONCLUSION: Needle tract implantation can occur after core needle biopsy. Further studies are needed to compare core-needle biopsy and fine-needle aspiration.
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spelling pubmed-78096702021-01-27 Late recurrence of papillary thyroid cancer from needle tract implantation after core needle biopsy: A case report Kim, Yon-Hee Choi, In-Ho Lee, Jong-Eun Kim, Zisun Han, Sun-Wook Hur, Sung-Mo Lee, Jihyoun World J Clin Cases Case Report BACKGROUND: Papillary thyroid cancer (PTC) has good prognosis so that the local recurrence or distant metastasis can occur later on the lifetime follow up. In this study, we report recurrence of PTC in subcutaneous area combined with lymph node metastasis. A suspicion of needle tract implantation after core needle biopsy was found. CASE SUMMARY: A 66-year-old female patients who underwent right thyroid lobectomy for PTC complained of palpable nodule on anterior neck area. The location of the palpable nodule was not associated with her postoperative scar. After excision of the skin tumor, it was diagnosed as recurrence of PTC. Furthermore, results of subsequent imaging showed lymph node metastasis on her right cervical area. According to the previous medical records, the patient received core needle biopsy through the neck of the patient midline and hematoma was noted after the procedure. The time interval from the first diagnosis to local recurrence or metastasis to the skin and lymph nodes was ten years. As treatment, the patient underwent lymph node dissection in the right and completion thyroidectomy for radioisotope treatment. CONCLUSION: Needle tract implantation can occur after core needle biopsy. Further studies are needed to compare core-needle biopsy and fine-needle aspiration. Baishideng Publishing Group Inc 2021-01-06 2021-01-06 /pmc/articles/PMC7809670/ /pubmed/33511188 http://dx.doi.org/10.12998/wjcc.v9.i1.218 Text en ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved. http://creativecommons.org/licenses/by-nc/4.0/ This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial.
spellingShingle Case Report
Kim, Yon-Hee
Choi, In-Ho
Lee, Jong-Eun
Kim, Zisun
Han, Sun-Wook
Hur, Sung-Mo
Lee, Jihyoun
Late recurrence of papillary thyroid cancer from needle tract implantation after core needle biopsy: A case report
title Late recurrence of papillary thyroid cancer from needle tract implantation after core needle biopsy: A case report
title_full Late recurrence of papillary thyroid cancer from needle tract implantation after core needle biopsy: A case report
title_fullStr Late recurrence of papillary thyroid cancer from needle tract implantation after core needle biopsy: A case report
title_full_unstemmed Late recurrence of papillary thyroid cancer from needle tract implantation after core needle biopsy: A case report
title_short Late recurrence of papillary thyroid cancer from needle tract implantation after core needle biopsy: A case report
title_sort late recurrence of papillary thyroid cancer from needle tract implantation after core needle biopsy: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7809670/
https://www.ncbi.nlm.nih.gov/pubmed/33511188
http://dx.doi.org/10.12998/wjcc.v9.i1.218
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