Management and prognosis of metastases to the thyroid gland

Mirallié, Éric; Rigaud, J.; Mathonnet, Muriel; Gibelin, Hélène; Régenet, Nicolas; Hamy, A.; Bretagnol, F.; Calan, Loïc de; Neel, Jean-Claude Le; Kraimps, Jean‐Louis

doi:10.1016/j.jamcollsurg.2004.10.009

Cited by 107 publications

(114 citation statements)

References 15 publications

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“…In a group of over 400 patients with breast cancer metastasis to the thyroid gland was found in only two patients (< 1%). Similarly, Mirallié et al (2005) in a group of 29 patients with metastasis to the thyroid gland did not find any case of breast cancer metastasis [27]. After taking into account the relative frequency of metastases (in relation to the number of patients subjected to FNA with a specific cancer) we observed that the dominant type of metastases was a tumour infiltrating the thyroid by direct extension from the neighbouring primary lesion.…”

Section: Prace Oryginalnesupporting

confidence: 74%

“…Our study relates to patients diagnosed for a thyroid disease in an endocrine outpatient clinic, in whom a routine ultrasound examination was performed, with subsequent biopsy of revealed lesions. Oncological patients represented only 6.3% of that population, in contrast to centres specialising in the diagnosis and treatment of cancers that present many reports on metastases to the thyroid gland [13,[27][28]. Probably for this reason, in our study the percentage of patients with secondary cancer (0.3%) was lower than in typical oncological centres, and similar to that found in centres involved in the diagnosis of thyroid disorders [15,25] and in general centres (non-specialised) [8] (Table IV).…”

Section: Prace Oryginalnementioning

confidence: 99%

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Nowotwory wtórne ujawniane podczas BAC tarczycy — analiza częstości występowania i charakterystyka obrazu ultrasonograficznego

Wysocka

Małyska

Zadworny

et al. 2015

Endokrynologia Polska

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Introduction: Metastases to the thyroid are revealed at autopsy with a frequency of 2-24%; however, clinically they appear less frequently, at 0.1-3%. The aim of the study was analysis of the frequency of revealing metastases to the thyroid (TM) and to the regional lymph nodes (NM) (neoplasms other than primary thyroid tumours) in preoperative diagnostics of the thyroid in patients with positive (C+) and negative (C-) history of cancer; analysis of ultrasound (US) images of metastases. Material and Methods: Results of US/fine needle aspiration (FNA) of the thyroid in 1276 C+ patients and 18,947 C-patients. Results: TM and NM were diagnosed/suspected in 57 patients (0.3% of all examined; 40 TM, 22 NM, 5 both), and their frequency was higher in the C+ group (2.9% vs. 0.1% in C-, p < 0.0001). In the C+ group, diagnosis of metastasis accounted for 72.3% of FNA results from the category "malignant neoplasm"; in the C-group it was 9.5% (p < 0.0001). The highest relative frequency of TM was found for cancers infiltrating thyroid by direct extension (> 10%), lymphomas (7.7%), and kidney (5.3%) and lung (4.9%) cancers. The mean age of patients with metastasis (63.9 ± 11.7 years) was similar to that of the C+ group and higher than the C-group (53.9 ± 14.8 years, p < 0.0001). The proportion of males among the patients with metastasis was three-fold higher than in the patients without metastasis (p < 0.0001). TM lesions presented suspicious borders in US twice as often as primary cancers . Conclusions: Metastases to the thyroid are rare; however, for patients with a history of cancer, their presence is more likely than primary thyroid cancer. US/FNA imaging of metastases allows the selection of patients requiring further diagnostics and treatment.

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Section: Prace Oryginalnesupporting

confidence: 74%

Section: Prace Oryginalnementioning

confidence: 99%

Nowotwory wtórne ujawniane podczas BAC tarczycy — analiza częstości występowania i charakterystyka obrazu ultrasonograficznego

Wysocka

Małyska

Zadworny

et al. 2015

Endokrynologia Polska

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“…The thyroid gland is one of the most vascular organs in the human body, yet clinical metastases to this gland are uncommon, accounting for only 1-3% of malignant neoplasms of the thyroid [48][49][50][51]. Data derived from autopsies indicate that the thyroid is the site of metastasis in 1.25% of unselected autopsies (the thyroid gland is not routinely examined in many autopsies) and up to 24% in patients with disseminated malignancies [52].…”

Section: Thyroid Glandmentioning

confidence: 99%

Metastases to the Head and Neck: An Overview

Barnes

2009

Head and Neck Pathol

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“…Melanoma is one of the most notorious tumors both for metastasis at unusual locations or after a long latent period (sometimes years later when the excision of the primary is forgotten) [20][21][22]. Our two cases of metastasis from subungual melanoma (where history was elicited on probing) and uveal melanoma (where clinicians were guided to search for it) are cases in point.…”

Section: Discussionmentioning

confidence: 96%