Lingual Thyroid Carcinoma: A Case Report and Review of Surgical Approaches in the Literature

2018 ◽  
Vol 127 (7) ◽  
pp. 475-480 ◽  
Author(s):  
William Stokes ◽  
Eric Interval ◽  
Rusha Patel
Keyword(s):  
Thyroid Carcinoma ◽  
Case Reports ◽  
Treatment Algorithm ◽  
Normal Diet ◽  
Oncologic Outcomes ◽  
Surgical Approaches ◽  
Pharyngocutaneous Fistula ◽  
Lingual Thyroid ◽  
Rare Entity ◽  
Review Of The Literature

Introduction: Lingual thyroid cancer is a rare entity with a paucity of literature guiding methods of surgical treatment. Its location presents anatomic challenges with access and excision. Objective: We present a case of T4aN1b classical variant papillary thyroid carcinoma of the lingual thyroid that was removed without pharyngeal entry. We also present a review of the literature of this rare entity and propose a treatment algorithm to provide safe and oncologic outcomes. Findings: Our review of the literature found 28 case reports of lingual thyroid carcinoma that met search criteria. The trans-cervical/trans-hyoid approach was the most frequently used and provides safe oncologic outcomes. This was followed by the transoral approach and then lateral pharyngotomy. Complications reported across the series include 1 case of pharyngocutaneous fistula associated with mandibulotomy and postoperative respiratory distress requiring reintubation or emergent tracheostomy in 2 patients. Conclusion: The location of lingual thyroid carcinoma can be variable, and surgical management requires knowledge of adjacent involved structures to decrease the risk of dysphagia and airway compromise. In particular, for cases where there is extensive loss to swallowing mechanisms, laryngeal suspension can allow the patient to resume a normal diet after treatment.

scholarly journals Recurrent Solitary Fibrous Tumor in Intradural Extramedullary Space: Case Report and Review of the Literature

2021 ◽  
Vol 2021 ◽  
pp. 1-14
Author(s):  
Neris Dincer ◽  
Melisa Bagci ◽  
Metin Figen ◽  
Adem Yilmaz ◽  
Ahmet Mesrur Halefoglu ◽  
...  
Keyword(s):  
Solitary Fibrous Tumor ◽  
Case Reports ◽  
Treatment Algorithm ◽  
Surgical Excision ◽  
Rare Entity ◽  
Review Of The Literature ◽  
Patient Reported ◽  
Intradural Extramedullary ◽  
Fibrous Tumor ◽  
Space Case

Solitary fibrous tumor/hemangiopericytoma (SFT/HPC) is a rare neoplasm arising from spindle cells and most commonly arising from pleura. Spinal SFT/HPC is a rare entity; hence, it is not on the top of the differential diagnosis list when a clinician faces a spinal lesion. In the review of the literature, there exist less than 50 case reports of intradural extramedullary SFT/HPC. Here, we present a 54-year-old female patient who underwent subtotal surgical excision of an intradural extramedullary spinal mass pathologically reported to be SFT/HPC and had symptomatic recurrence in the 3rd year of follow-up. Surgical intervention was unachievable and the patient was given 45 Gy to the surgical cavity followed by a 5.4 Gy boost to visible tumor with external radiotherapy. Patient reported significant relief of her symptoms. We aim to contribute to the formation of a treatment algorithm for this rare entity.

scholarly journals Embryonal tumor with abundant neuropil and true rosettes in the brainstem: case report

2015 ◽  
Vol 16 (3) ◽  
pp. 291-295 ◽  
Author(s):  
Hidetoshi Sato ◽  
Yuzo Terakawa ◽  
Naohiro Tsuyuguchi ◽  
Yuko Kuwae ◽  
Masahiko Ohsawa ◽  
...  
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Case Reports ◽  
Subtotal Resection ◽  
Surgical Removal ◽  
Rare Entity ◽  
Review Of The Literature ◽  
Embryonal Tumor

Embryonal tumor with abundant neuropil and true rosettes (ETANTR) is rarely seen in the brainstem, and there are few case reports of brainstem ETANTR in the literature. Accordingly, the characteristics and the role of surgical treatment of this rare entity remain unclear. The authors present a case of brainstem ETANTR involving a 33-month-old boy along with a review of the literature and discuss the role of surgical removal in the treatment of this entity. In the authors’ case, the tumor was surgically treated with subtotal resection, which resulted in improvement of the patient’s preoperative symptoms. Chemotherapy was initiated but did not appear to be effective, radiotherapy was declined, and the boy died 6 months after the operation. Based on their analysis of 10 previously reported cases and their own case, the authors conclude that, with respect to survival, surgery may be beneficial even in cases of ETANTR in the brainstem. They note, however, that further studies with a large number of cases are needed to validate the role of surgical treatment in brainstem ETANTR.

scholarly journals Hemangioma of the Tympanic Membrane: A Case and a Review of the Literature

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Emilio Mevio ◽  
Marco Cazzaniga ◽  
Mauro Mullace ◽  
Donatella Paolotti
Keyword(s):  
Tympanic Membrane ◽  
External Auditory Canal ◽  
Case Reports ◽  
Benign Neoplasm ◽  
Surgical Excision ◽  
Vascular Tumor ◽  
Surgical Approaches ◽  
Review Of The Literature ◽  
Bony Canal ◽  
Sixth Decade

Hemangiomas of the external auditory canal, involving the posterior bony canal and the adjacent tympanic membrane, although rare, are considered a specific disease entity of the human external auditory canal. Hemangiomas of the tympanic membrane and/or external auditory canal are rare entities; there are 16 previous case reports in the literature. It is a benign vascular tumor. It generally occurs in males in the sixth decade of life. Total surgical excision with or without tympanic membrane grafting appears to be effective in the removal of this benign neoplasm. The authors present a case and a review of the literature discussing diagnostic and surgical approaches.

Lingual ectopic papillary thyroid carcinoma: Two case reports and review of the literature

Oral Oncology ◽  
2019 ◽  
Vol 88 ◽  
pp. 186-189 ◽  
Author(s):  
Nai-si Huang ◽  
Wen-jun Wei ◽  
Ning Qu ◽  
Yu-long Wang ◽  
Yu Wang ◽  
...  
Keyword(s):  
Papillary Thyroid Carcinoma ◽  
Thyroid Carcinoma ◽  
Case Reports ◽  
Papillary Thyroid ◽  
Review Of The Literature

Systemic management of malignant ovarian germ cell tumors in older women: two case reports and a review of the literature

2016 ◽  
Vol 4 (1) ◽  
pp. 26-35
Author(s):  
Michael Luis ◽  
Stergios Boussios ◽  
Lucy Dumas ◽  
Susana Banerjee
Keyword(s):  
Germ Cell ◽  
Postmenopausal Women ◽  
Older Women ◽  
Case Reports ◽  
Germ Cell Tumors ◽  
Diagnosis And Treatment ◽  
Surgical Approaches ◽  
Disease Course ◽  
Review Of The Literature ◽  
Aggressive Disease

Background Ovarian germ cell tumors (OGCT) account for 2-5% of ovarian malignancies, with an annual incidence of 0.5-1:100,000, typically occurring in young women. Yolk sac tumor (YST) is the second most common type of OGCT and has an aggressive phenotype. The rarity of this pathology in postmenopausal women poses challenges in the diagnosis and treatment. Patients and Methods We report two clinical cases of YST in postmenopausal women treated at the Royal Marsden and discuss diagnosis and treatment issues of OGCTs in older women. A literature review was also performed, which identified thirty-nine cases, including the two reported in this article. Results and Conclusion This showed that YSTs in older women are rare and are generally aggressive with poor clinical outcomes. Twelve of the described patients with malignant OGCTs died within 8 months of diagnosis. In conclusion, YST in postmenopausal women can have an aggressive disease course compared with younger patients. More evidence for the tolerability and outcomes of cytoreductive surgical approaches and intensive chemotherapy regimens in older patients is required.

scholarly journals Peripheral Odontogenic Myxoma: Report of Two New Cases with a Critical Review of the Literature

2018 ◽  
Vol 12 (1) ◽  
pp. 1079-1090
Author(s):  
Marco Mascitti ◽  
Lucrezia Togni ◽  
Filippo Pirani ◽  
Corrado Rubini ◽  
Andrea Santarelli
Keyword(s):  
Critical Review ◽  
Case Reports ◽  
English Literature ◽  
Rare Entity ◽  
Review Of The Literature ◽  
Odontogenic Myxoma ◽  
Radiographic Findings ◽  
Odontogenic Epithelium ◽  
Mandibular Molar ◽  
Molar Region

Introduction: Odontogenic myxoma is a benign mesenchymal odontogenic tumor that is more frequently found in the mandibular molar region. The extra-osseous counterpart, called Peripheral Odontogenic Myxoma (POM), is an exceedingly rare entity and with very low aggressive potential. Methods: Clinical and radiographic findings are not specific, and difficulties may exist in differentiating histological findings of POM from other tumors with myxoid features, such as fibromas and oral focal mucinosis. Due to the fact that the presence of odontogenic epithelium is not required for the diagnosis, a myxoid lesion without odontogenic nests that develops in extraosseous position can be misdiagnosed with a soft tissue myxoma. Case Reports: We thereby present two cases of POM and conduct an extensive and critical review of the English literature, taking into consideration both certain and putative cases of POM.

scholarly journals Parathyroid Carcinoma in a Patient With Secondary Hyperparathyroidism and Thyroid Hemiagenesis: A Case Report and Review of the Literature

2021 ◽  
pp. 014556132110362
Author(s):  
Shinpei Kada ◽  
Miho Tanaka ◽  
Akihiro Yasoda
Keyword(s):  
Secondary Hyperparathyroidism ◽  
Parathyroid Carcinoma ◽  
Rare Case ◽  
Case Reports ◽  
Endocrine Tumor ◽  
Total Parathyroidectomy ◽  
Rare Entity ◽  
Review Of The Literature ◽  
Thyroid Hemiagenesis ◽  
Parathyroid Disease

Parathyroid carcinoma is a rare endocrine tumor. Parathyroid carcinoma in patients with secondary hyperparathyroidism due to chronic kidney disease is also rare. In addition, thyroid hemiagenesis is a rare congenital anomaly. We report an extremely rare case of parathyroid carcinoma in a patient with secondary hyperparathyroidism and thyroid hemiagenesis. We also present a review of the literature of this rare entity. We also discuss the surgical procedure performed for this patient. Our review of the literature found 34 case reports of parathyroid carcinoma in patients undergoing dialysis due to chronic renal failure; 14 reports of thyroid hemiagenesis with parathyroid disease; and no previous reports of thyroid hemiagenesis with secondary hyperparathyroidism and parathyroid carcinoma. Although surgical treatment of parathyroid carcinoma requires combined resection with the thyroid, peritracheal dissection with total parathyroidectomy, and monitoring intact parathyroid hormone as a tumor marker, our procedure preserved the patient’s thyroid function. There has been no evidence of recurrence for over 8 years.

scholarly journals Bilateral Ewing Sarcoma/Primitive Neuroectodermal Tumor of the Breast: A Very Rare Entity and Review of the Literature

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
N. Majid ◽  
M. Amrani ◽  
I. Ghissassi ◽  
M. El Cadi ◽  
M. El Bouzidi ◽  
...  
Keyword(s):  
Primitive Neuroectodermal Tumor ◽  
Malignant Tumors ◽  
Case Reports ◽  
Young Female ◽  
Rare Entity ◽  
Review Of The Literature ◽  
Primitive Neuroectodermal Tumors ◽  
Neuroectodermal Tumors ◽  
Breast Abnormality ◽  
Palpable Breast

Peripheral primitive neuroectodermal tumors (PNET) are rare malignant tumors, affecting mostly children and adolescents and have been described in breast in eight case reports only. In this paper, we present a case of bilateral mammary ES/PNET where distinction between primary and metastatic diseases was discussed through a literature review. The aim of this work is to demonstrate that although rare, the possibility of PNET should be kept in mind while evaluating a palpable breast abnormality in a young female.

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