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Thyroid carcinoma with discharging sinus -- a rarity: a case report.

Harish K - J Med Case Rep (2008)

Bottom Line: Presentation with a discharging sinus has not been reported.This is a unique case where the ulceration resulted in a discharging sinus.Patient is alive after 2 years following successful therapy.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Surgical Oncology, Gokula Curie Cancer Centre, M, S, Ramaiah Medical College & Hospital, Bangalore, India. drkhari@yahoo.com

ABSTRACT

Introduction: Well differentiated thyroid carcinoma with isolated involvement of skin is extremely rare. Presentation with a discharging sinus has not been reported.

Case presentation: This is a report of a 62 year old male patient with a long standing history of thyroid swelling which has metastasized to neck nodes and ulcerated over the midline resulting in a discharging sinus.

Conclusion: Extra thyroidal extension is seen in 4% to 16% of all well differentiated thyroid cancers. However there is only an isolated report of skin ulceration over the thyroid. This is a unique case where the ulceration resulted in a discharging sinus. Patient is alive after 2 years following successful therapy. Aggressive surgery is warranted for locally advanced thyroid cancer.

No MeSH data available.


Related in: MedlinePlus

Photograph showing carcinoma of thyroid with sinus extending downwards and opening in front of the manubrium. The metastatic nodal disease on the left side of the neck can also be appreciated.
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Figure 1: Photograph showing carcinoma of thyroid with sinus extending downwards and opening in front of the manubrium. The metastatic nodal disease on the left side of the neck can also be appreciated.

Mentions: A 62 year old male patient presented to our hospital with a 9 year history of swelling in the neck. The swelling was situated in front of the neck in the thyroid region which gradually increased and 6 years later further swellings appeared in the left side of the neck. There were no other associated symptoms including those of hypo or hyperthyroidism. There was no difficulty in swallowing or breathing. Six months prior to presentation at our hospital, patient noticed a small ulceration in the skin over the tumor in the supra-sterna notch which did not heal (Figure 1). A small quantity of discharge from this sinus has persisted since then.


Thyroid carcinoma with discharging sinus -- a rarity: a case report.

Harish K - J Med Case Rep (2008)

Photograph showing carcinoma of thyroid with sinus extending downwards and opening in front of the manubrium. The metastatic nodal disease on the left side of the neck can also be appreciated.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2266768&req=5

Figure 1: Photograph showing carcinoma of thyroid with sinus extending downwards and opening in front of the manubrium. The metastatic nodal disease on the left side of the neck can also be appreciated.
Mentions: A 62 year old male patient presented to our hospital with a 9 year history of swelling in the neck. The swelling was situated in front of the neck in the thyroid region which gradually increased and 6 years later further swellings appeared in the left side of the neck. There were no other associated symptoms including those of hypo or hyperthyroidism. There was no difficulty in swallowing or breathing. Six months prior to presentation at our hospital, patient noticed a small ulceration in the skin over the tumor in the supra-sterna notch which did not heal (Figure 1). A small quantity of discharge from this sinus has persisted since then.

Bottom Line: Presentation with a discharging sinus has not been reported.This is a unique case where the ulceration resulted in a discharging sinus.Patient is alive after 2 years following successful therapy.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Surgical Oncology, Gokula Curie Cancer Centre, M, S, Ramaiah Medical College & Hospital, Bangalore, India. drkhari@yahoo.com

ABSTRACT

Introduction: Well differentiated thyroid carcinoma with isolated involvement of skin is extremely rare. Presentation with a discharging sinus has not been reported.

Case presentation: This is a report of a 62 year old male patient with a long standing history of thyroid swelling which has metastasized to neck nodes and ulcerated over the midline resulting in a discharging sinus.

Conclusion: Extra thyroidal extension is seen in 4% to 16% of all well differentiated thyroid cancers. However there is only an isolated report of skin ulceration over the thyroid. This is a unique case where the ulceration resulted in a discharging sinus. Patient is alive after 2 years following successful therapy. Aggressive surgery is warranted for locally advanced thyroid cancer.

No MeSH data available.


Related in: MedlinePlus