A CASE OF SUBCUTANEOUS METASTASIS OF THE ABDOMEN 35 YEARS AFTER SURGERY FOR PAPILLARY CARCINOMA OF THE THYROID

Subcutaneous metastasis of the abdomen from papillary carcinoma of the thyroid is extremely rare. Here we report such a case of a metastatic submucosal tumor at the epigastric region 35 years after surgery for papillary carcinoma of the thyroid in a 73-year-old woman. At the first surgery, a total t...

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Published inNihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) Vol. 65; no. 1; pp. 38 - 41
Main Authors KASUGA, Yoshio, SHIMIZU, Akira, ITO, Tokiko, KOBAYASHI, Motohiro, KUMAKI, Toshinari, AOKI, Takahisa
Format Journal Article
LanguageEnglish
Published Japan Surgical Association 2004
Online AccessGet full text
ISSN1345-2843
1882-5133
1882-5133
DOI10.3919/jjsa.65.38

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Abstract Subcutaneous metastasis of the abdomen from papillary carcinoma of the thyroid is extremely rare. Here we report such a case of a metastatic submucosal tumor at the epigastric region 35 years after surgery for papillary carcinoma of the thyroid in a 73-year-old woman. At the first surgery, a total thyroidectomy with modified neck dissection was carried out because of thyroid cancer. Histological examination showed papillary carcinoma with multiple metastases in the cervical lymph nodes. A 15×15 mm subcutaneous tumor in the epigastric region was found in January, 2003. Aspiration biopsy cytology of the tumor showed papillary carcinoma of the thyroid. There were no cervical lymph node metastases, bone and lung metastasis, so that resection of the tumor was carried out. Histological finding of the tumor showed a poorly differentiated papillary carcinoma. In addition, tissue immunohistochemical staining for thyroglobulin showed positive. We sometimes see clinical cases of hematogenous metastasis of papillary thyroid carcinoma to the tongue, skin, and brain, and this case is also thought to be of rare distant hematogenous metastasis from papillary thyroid carcinoma.
AbstractList Subcutaneous metastasis of the abdomen from papillary carcinoma of the thyroid is extremely rare. Here we report such a case of a metastatic submucosal tumor at the epigastric region 35 years after surgery for papillary carcinoma of the thyroid in a 73-year-old woman. At the first surgery, a total thyroidectomy with modified neck dissection was carried out because of thyroid cancer. Histological examination showed papillary carcinoma with multiple metastases in the cervical lymph nodes. A 15×15 mm subcutaneous tumor in the epigastric region was found in January, 2003. Aspiration biopsy cytology of the tumor showed papillary carcinoma of the thyroid. There were no cervical lymph node metastases, bone and lung metastasis, so that resection of the tumor was carried out. Histological finding of the tumor showed a poorly differentiated papillary carcinoma. In addition, tissue immunohistochemical staining for thyroglobulin showed positive. We sometimes see clinical cases of hematogenous metastasis of papillary thyroid carcinoma to the tongue, skin, and brain, and this case is also thought to be of rare distant hematogenous metastasis from papillary thyroid carcinoma.
Author KUMAKI, Toshinari
ITO, Tokiko
SHIMIZU, Akira
KASUGA, Yoshio
AOKI, Takahisa
KOBAYASHI, Motohiro
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13) 呉 吉煥,岩崎博幸,鈴木 章他:甲状腺乳頭癌の血管侵襲について-特に遠隔転移に関する検討-.日臨外会誌 51: 2359-2364, 1990
References_xml – reference: 8) 原田洋明,木村正美,松下弘雄:喀血と皮膚転移をきたした甲状腺乳頭癌再発の1例.日臨外会誌 61: 1709-1711, 2000
– reference: 3) 上田重春,高橋 広,明比 俊他:術後7年目に腋窩リンパ節に転移した甲状腺乳頭癌の1例.日臨外会誌 57: 2934-2937, 1996
– reference: 12) Meissner WA, Warren S: Carcinoma, tumors of the thyroid gland. Atlas of tumor pathology, fasc 4, Armed Forces Institute of Pathology, Washington D. C., 1969, p70
– reference: 13) 呉 吉煥,岩崎博幸,鈴木 章他:甲状腺乳頭癌の血管侵襲について-特に遠隔転移に関する検討-.日臨外会誌 51: 2359-2364, 1990
– reference: 7) 保里惠一,羽藤誠記,成田 洋他:舌転移を来した甲状腺癌の1例.日臨外会誌 56: 2053-2057, 1995
– reference: 1) 菅谷 昭,新宮聖士,麻沼和彦他:甲状腺癌の術後遠隔成績.癌の臨 41: 145-150, 1995
– reference: 9) 中村 勇司,岡崎 篤,馬場貞明他: 131I内部照射に外部照射の併用がきわめて有効であった甲状腺乳頭癌骨転移の1例.癌の臨 44: 339-344, 1998
– reference: 10) 山下 洋,三浦俊治,佐々木 茂他:脳出血を合併した甲状腺乳頭癌脳転移の1例.内分泌外科 18: 210-214, 2001
– reference: 4) 本行忠志,中尾量保,宮田正彦他:甲状腺分化癌再発症例の検討.内分泌外科 5: 81-87, 1988
– reference: 2) 麻賀太郎,吉田 明,増沢千尋:局所再発を繰り返し,切除不能となった甲状腺乳頭癌の1例.内分泌外科 9: 167-170, 1992
– reference: 6) 呉 吉煥,杉野公則,岩崎博幸他:甲状腺分化癌の骨転移に関する臨床的検討.日臨外会誌 53: 287-291, 1992
– reference: 5) 吉田 明,五島英迪,鈴木 章他:甲状腺分化癌における血管侵襲と遠隔転移について.内分泌外科 2: 491-495, 1985
– reference: 11) 大橋龍一郎,土井原博義,横山伸二他:甲状腺癌死亡例の臨床病理学的検討.日臨外会誌 56: 480-485, 1995
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Snippet Subcutaneous metastasis of the abdomen from papillary carcinoma of the thyroid is extremely rare. Here we report such a case of a metastatic submucosal tumor...
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Title A CASE OF SUBCUTANEOUS METASTASIS OF THE ABDOMEN 35 YEARS AFTER SURGERY FOR PAPILLARY CARCINOMA OF THE THYROID
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