Metastatic Papillary Thyroid Carcinoma in the Hand.

IF 1.5 Q3 SURGERY
Christine S W Best, Wenhui Liu, Tao Huang, Kevin C Chung
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引用次数: 0

Abstract

Papillary thyroid carcinoma is the most common thyroid cancer, and metastases can be seen in up to 10% of patients at initial presentation. Metastasis of tumors to the hand is rare. This report describes a patient with painful right thenar and hypothenar masses that were confirmed as metastatic papillary thyroid carcinoma after narrow excision. Intraoperatively, the soft tissue masses did not invade the surrounding musculature or neurovascular bundles. There was improved hand pain and no neurovascular deficits postoperatively. Close monitoring with physical examination without additional radiation was recommended by the multidisciplinary endocrine oncology tumor board. This case highlighted the importance of maintaining suspicion for malignant metastasis in hand masses when there is a history of thyroid carcinoma.

手部转移性甲状腺乳头状癌。
甲状腺乳头状癌是最常见的甲状腺癌,高达10%的患者在初次就诊时可出现转移。肿瘤转移到手部是罕见的。这个报告描述了一个病人疼痛的右大鱼际和下鱼际肿块,证实转移性甲状腺乳头状癌后狭窄切除。术中软组织肿块未侵犯周围肌肉组织或神经维管束。术后手部疼痛改善,无神经血管缺损。多学科内分泌肿瘤学肿瘤委员会建议密切监测并进行体格检查,而不需要额外的放疗。本病例强调当有甲状腺癌病史时,保持对手部肿块恶性转移的怀疑的重要性。
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来源期刊
CiteScore
2.20
自引率
13.30%
发文量
1584
审稿时长
10 weeks
期刊介绍: Plastic and Reconstructive Surgery—Global Open is an open access, peer reviewed, international journal focusing on global plastic and reconstructive surgery.Plastic and Reconstructive Surgery—Global Open publishes on all areas of plastic and reconstructive surgery, including basic science/experimental studies pertinent to the field and also clinical articles on such topics as: breast reconstruction, head and neck surgery, pediatric and craniofacial surgery, hand and microsurgery, wound healing, and cosmetic and aesthetic surgery. Clinical studies, experimental articles, ideas and innovations, and techniques and case reports are all welcome article types. Manuscript submission is open to all surgeons, researchers, and other health care providers world-wide who wish to communicate their research results on topics related to plastic and reconstructive surgery. Furthermore, Plastic and Reconstructive Surgery—Global Open, a complimentary journal to Plastic and Reconstructive Surgery, provides an open access venue for the publication of those research studies sponsored by private and public funding agencies that require open access publication of study results. Its mission is to disseminate high quality, peer reviewed research in plastic and reconstructive surgery to the widest possible global audience, through an open access platform. As an open access journal, Plastic and Reconstructive Surgery—Global Open offers its content for free to any viewer. Authors of articles retain their copyright to the materials published. Additionally, Plastic and Reconstructive Surgery—Global Open provides rapid review and publication of accepted papers.
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