INCIDENTAL THYROID CANCER IN THE PYRAMIDAL LOBE & IMPLICATIONS FOR THYROIDECTOMY.

IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL

Ceylon Medical Journal Pub Date : 2022-06-30 DOI:10.4038/cmj.v67i2.9633

Diluka Pinto, Gayana Mahendra, Ranil Fernando

引用次数: 0

Abstract

The Embryological remnants (ERs) must be removed to achieve a safe and complete 'total' thyroidectomy. Residual ERs, after thyroidectomy, may cause recurrence of the initial pathology. This poses management dilemmas, including a difficult reoperation. Active search and removal of the ERs intraoperatively is essential. Primary overt malignancy is rare in ERs. Literature reports several cohort studies of same. The incidence of a Micropapillary Carcinoma in an ER has not been reported and this brief report describes two patients with Incidental Micropapillary Carcinoma in the Pyramidal lobe, reiterating the need to make removal of ERs the accepted norm in total thyroidectomies.

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锥体叶偶发甲状腺癌及甲状腺切除术的意义。

为了实现安全、完整的“全”甲状腺切除术，必须切除胚胎残余(er)。甲状腺切除术后残留的er可引起初始病理复发。这造成了管理困境，包括困难的再操作。术中主动搜索和移除急诊室是必要的。原发性显性恶性肿瘤在急诊中是罕见的。文献报道了几项相同的队列研究。微乳头状癌在ER中的发病率尚未报道，本文简要描述了两例锥体叶偶发微乳头状癌的患者，重申了在全甲状腺切除术中切除ER的必要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Ceylon Medical Journal MEDICINE, GENERAL & INTERNAL-

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期刊介绍： The Ceylon Medical Journal, is the oldest surviving medical journal in Australasia. It is the only medical journal in Sri Lanka that is listed in the Index Medicus. The CMJ started life way back in 1887 as the organ of the Ceylon Branch of the British Medical Association. Except for a brief period between 1893 and 1904 when it ceased publication, the CMJ or its forbear, the Journal of the Ceylon Branch of the British Medical Association, has been published without interruption up to now. The journal"s name changed to the CMJ in 1954.