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Intrathyroidal thymic carcinoma.
- Source :
-
BMJ case reports [BMJ Case Rep] 2024 Jun 11; Vol. 17 (6). Date of Electronic Publication: 2024 Jun 11. - Publication Year :
- 2024
-
Abstract
- A young woman in her early 30s presented with a right thyroid mass and progressive hoarseness due to a right vocal cord palsy. The preoperative fine-needle aspiration cytology was classified as Bethesda V and she underwent a total thyroidectomy and neck dissection. Intraoperatively, the thyroid mass was adherent to the oesophagus, trachea and encasing the right recurrent laryngeal nerve which was sacrificed. Final histopathology diagnosed a rare subtype of thyroid cancer known as intrathyroidal thymic carcinoma (ITC). She was then sent for adjuvant radiotherapy after a multidisciplinary tumour board discussion. This case report highlights the difficulty in preoperative diagnosis of ITC and the importance of immunohistochemical staining in clinching the diagnosis. In view of its rarity, there have been no published consensus on the treatment of ITC, hence we would like to share some learning points through a comprehensive literature review.<br />Competing Interests: Competing interests: None declared.<br /> (© BMJ Publishing Group Limited 2024. No commercial re-use. See rights and permissions. Published by BMJ.)
- Subjects :
- Humans
Female
Adult
Biopsy, Fine-Needle
Thymoma pathology
Thymoma surgery
Thymoma diagnostic imaging
Thymoma diagnosis
Thymoma complications
Neck Dissection
Radiotherapy, Adjuvant
Diagnosis, Differential
Hoarseness etiology
Thyroid Neoplasms pathology
Thyroid Neoplasms diagnosis
Thyroid Neoplasms surgery
Thymus Neoplasms surgery
Thymus Neoplasms diagnosis
Thymus Neoplasms complications
Thymus Neoplasms diagnostic imaging
Thymus Neoplasms pathology
Thyroidectomy
Subjects
Details
- Language :
- English
- ISSN :
- 1757-790X
- Volume :
- 17
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- BMJ case reports
- Publication Type :
- Academic Journal
- Accession number :
- 38862190
- Full Text :
- https://doi.org/10.1136/bcr-2024-260938