Document Detail

Sclerosing papillary carcinoma arising in a lingual thyroid: report of a case.
MedLine Citation:
PMID:  15815847     Owner:  NLM     Status:  MEDLINE    
Ectopic lingual thyroid tissue is an uncommon congenital anomaly. Tumors with identical pathological characteristics to those arising in thyroid tissue may be present in ectopic locations, but there are very few cases of malignant ectopic thyroid tumors reported in the literature. We present a review of this phenomenon and report a case of papillary carcinoma of the base of the tongue, located in ectopic lingual thyroid tissue, in a 30-year-old woman. The patient's presenting symptoms were dysphagia and oral bleeding, and we performed radical resection of the neoformation at the base of the tongue with part of the muscles of the floor of the mouth and the body of the hyoid bone, as well as total thyroidectomy. Histological examination revealed a "sclerosing" papillary carcinoma. The patient was treated with 131I and substitutive thyroid hormonal therapy. An ultrasonogram done 5 years later showed bilateral laterocervical lymph node recurrence, which was effectively treated with bilateral laterocervical lymphectomy.
Laura Falvo; Alberto Berni; Antonio Catania; Vito D'Andrea; Silvio Palermo; Cristina Giustiniani; Enrico De Antoni
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Surgery today     Volume:  35     ISSN:  0941-1291     ISO Abbreviation:  Surg. Today     Publication Date:  2005  
Date Detail:
Created Date:  2005-04-07     Completed Date:  2005-07-21     Revised Date:  2006-08-03    
Medline Journal Info:
Nlm Unique ID:  9204360     Medline TA:  Surg Today     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  304-8     Citation Subset:  IM    
Division of General Surgery, Department of Surgical Sciences, University of Rome La Sapienza, Rome, Italy.
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MeSH Terms
Carcinoma, Papillary / pathology*,  therapy*
Choristoma / pathology*
Diagnosis, Differential
Sclerosis / therapy
Thyroid Gland*
Tongue Neoplasms / pathology*,  therapy*

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