Subcutaneous implantation of nodular goiter after transoral endoscopic thyroidectomy vestibular approach: A case study and review of literature.

Autor: Weng YJ; Division of Endocrine Surgery, Department of General Surgery, The University of Hong Kong - Shenzhen Hospital, Shenzhen, China., Kwan KJS; Department of General Surgery, Shanghai Pudong Hospital, Fudan University Pudong Medical Center, Shanghai, China., Chen DB; Division of Endocrine Surgery, Department of General Surgery, The University of Hong Kong - Shenzhen Hospital, Shenzhen, China., Hu BL; Division of Endocrine Surgery, Department of General Surgery, The University of Hong Kong - Shenzhen Hospital, Shenzhen, China., Jiang J; Division of Endocrine Surgery, Department of General Surgery, The University of Hong Kong - Shenzhen Hospital, Shenzhen, China., Min L; Division of Endocrine Surgery, Department of General Surgery, The University of Hong Kong - Shenzhen Hospital, Shenzhen, China., Ai Q; Division of Endocrine Surgery, Department of General Surgery, The University of Hong Kong - Shenzhen Hospital, Shenzhen, China., Chen WC; Division of Endocrine Surgery, Department of General Surgery, The University of Hong Kong - Shenzhen Hospital, Shenzhen, China., Huang ZH; Division of Endocrine Surgery, Department of General Surgery, The University of Hong Kong - Shenzhen Hospital, Shenzhen, China.
Jazyk: angličtina
Zdroj: Head & neck [Head Neck] 2024 Jun; Vol. 46 (6), pp. E61-E66. Date of Electronic Publication: 2024 Mar 12.
DOI: 10.1002/hed.27732
Abstrakt: Background: Extrathyroid implantation or dissemination of thyroid tissue secondary to a thyroid procedure is rare. Most of these belonged to thyroid carcinoma with metastatic potential and uncommon for benign pathologies.
Methods: We report the case of a 31-year-old female who was identified to have multiple subcutaneous implantation of thyroid tissue 5 years after transoral endoscopic thyroidectomy vestibular approach. A comprehensive literature search on implantation of thyroid tissue secondary to thyroid procedures was performed.
Results: Accidental tearing of the capsule during previous surgery may lead to the subcutaneous implantation. Through literature review, a total 29 articles with 47 patients were identified. 33.3% were benign lesions, and implantation was mostly secondary to fine needle aspiration biopsy (46.5%).
Conclusions: Subcutaneous or port site implantation after endoscopic thyroid surgery may occur in benign thyroid pathologies and therefore, oncologic principles must be strictly followed during surgery regardless of its histopathological nature.
(© 2024 Wiley Periodicals LLC.)
Databáze: MEDLINE
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