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First report of a case with needle track sinus after aspiration biopsy of a benign thyroid nodule resulted in an unexpected postoperative complication.

Dogan L, Karaman N, Kucuk A, Ozaslan C, Atalay C, Celebioglu S - J Thyroid Res (2010)

Bottom Line: In this paper, a 71-year-old man presenting with a swelling and discharge on the anterior neck wall was reported.Similar complaints were present 15 to 20 days after fine needle aspiration biopsy of thyroid gland four years ago.In patients with needle biopsy-related inflammation, surgery may be delayed until the inflammation subsides.

View Article: PubMed Central - PubMed

Affiliation: Department of General Surgery, Ankara Oncology Training and Research Hospital, 06340 Ankara, Turkey.

ABSTRACT
Fine needle aspiration biopsy is the most feasible, safe, and accurate diagnostic tool for thyroid nodule diagnosis. The development of a sinus tract between thyroid gland and the skin through needle tract after fine needle aspiration biopsy is an extremely uncommon phenomenon. In this paper, a 71-year-old man presenting with a swelling and discharge on the anterior neck wall was reported. Similar complaints were present 15 to 20 days after fine needle aspiration biopsy of thyroid gland four years ago. Bilateral total thyroidectomy was performed considering a thyroid malignancy infiltrating the skin. Histopathologic examination confirmed a sinus tract between the thyroid gland and skin and thyroid nodule was benign in nature. It must be kept in mind that inflammatory reactions might also occur after fine needle aspiration biopsy of benign thyroid nodules. In patients with needle biopsy-related inflammation, surgery may be delayed until the inflammation subsides.

No MeSH data available.


Related in: MedlinePlus

Sinus opening with moderately swollen and hyperemic skin around it.
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fig1: Sinus opening with moderately swollen and hyperemic skin around it.

Mentions: Physical examination of the patient revealed a sinus opening with seropurulant discharge located at midline, two cm caudal to thyroid cartilage and the tissues surrounding the sinus opening were moderately swollen and hyperemic (Figure 1). There was also a palpable nodule four cm in size with circumscribed margins located in the left lobe of thyroid gland. There were no palpable lymph nodes in the cervical region. Other systemic examinations were normal. White blood cell count, neutrophil, eosinophil, C reactive protein, sedimentation rate, liver and thyroid function tests, and antithyroid antibodies were all in normal range. In cervical USG, there was a nodule 46 × 32 mm in size with multiple calcifications and mixed echogenities in the left thyroid lobe and it was pushing trachea away from the midline. At thyroid scintigraphy, the nodule was hypoactive and almost filling the whole lobe of the thyroid gland. In addition to this nodule, there was asymmetrical thickening of tracheal wall on the left side starting from the level of epiglottis and obliterating lateral recess at the level of Eustachian tube in computerized tomography (CT).


First report of a case with needle track sinus after aspiration biopsy of a benign thyroid nodule resulted in an unexpected postoperative complication.

Dogan L, Karaman N, Kucuk A, Ozaslan C, Atalay C, Celebioglu S - J Thyroid Res (2010)

Sinus opening with moderately swollen and hyperemic skin around it.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC2957759&req=5

fig1: Sinus opening with moderately swollen and hyperemic skin around it.
Mentions: Physical examination of the patient revealed a sinus opening with seropurulant discharge located at midline, two cm caudal to thyroid cartilage and the tissues surrounding the sinus opening were moderately swollen and hyperemic (Figure 1). There was also a palpable nodule four cm in size with circumscribed margins located in the left lobe of thyroid gland. There were no palpable lymph nodes in the cervical region. Other systemic examinations were normal. White blood cell count, neutrophil, eosinophil, C reactive protein, sedimentation rate, liver and thyroid function tests, and antithyroid antibodies were all in normal range. In cervical USG, there was a nodule 46 × 32 mm in size with multiple calcifications and mixed echogenities in the left thyroid lobe and it was pushing trachea away from the midline. At thyroid scintigraphy, the nodule was hypoactive and almost filling the whole lobe of the thyroid gland. In addition to this nodule, there was asymmetrical thickening of tracheal wall on the left side starting from the level of epiglottis and obliterating lateral recess at the level of Eustachian tube in computerized tomography (CT).

Bottom Line: In this paper, a 71-year-old man presenting with a swelling and discharge on the anterior neck wall was reported.Similar complaints were present 15 to 20 days after fine needle aspiration biopsy of thyroid gland four years ago.In patients with needle biopsy-related inflammation, surgery may be delayed until the inflammation subsides.

View Article: PubMed Central - PubMed

Affiliation: Department of General Surgery, Ankara Oncology Training and Research Hospital, 06340 Ankara, Turkey.

ABSTRACT
Fine needle aspiration biopsy is the most feasible, safe, and accurate diagnostic tool for thyroid nodule diagnosis. The development of a sinus tract between thyroid gland and the skin through needle tract after fine needle aspiration biopsy is an extremely uncommon phenomenon. In this paper, a 71-year-old man presenting with a swelling and discharge on the anterior neck wall was reported. Similar complaints were present 15 to 20 days after fine needle aspiration biopsy of thyroid gland four years ago. Bilateral total thyroidectomy was performed considering a thyroid malignancy infiltrating the skin. Histopathologic examination confirmed a sinus tract between the thyroid gland and skin and thyroid nodule was benign in nature. It must be kept in mind that inflammatory reactions might also occur after fine needle aspiration biopsy of benign thyroid nodules. In patients with needle biopsy-related inflammation, surgery may be delayed until the inflammation subsides.

No MeSH data available.


Related in: MedlinePlus