Pyramidal lobe‐dominant papillary thyroid carcinoma—A rare entity with important clinical implications

Messias, Henrique; Sequeira, Maria Luísa; Nogueira, R.P.; Zagalo, Carlos; Martins, Mariluz; Gomes, Pedro

doi:10.1002/ccr3.7189

Cited by 2 publications

(3 citation statements)

References 10 publications

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“…After the total thyroidectomy, approximately 50% of patients reported having residual thyroid tissue; the risk of undetected PTCs in the exact same region was around 4%. 7 Despite the high occurrence of PTC multifocality, complete surgical removal of the PL must be performed in patients with PTC. In addition, if the PL is not completely removed during the suggested total thyroidectomy, the function of the residual PL will be activated.…”

Section: Figure 1 the Algorithm Of Thyroid Mass Management And Diagnosismentioning

confidence: 99%

“…Reoperation is the first choice if it is possible once the diagnosis of recurrent PTC of the PL has been confirmed. 7,16 The complete removal of the pyramidal lobe using a standardize surgical technique is mandatory in indicated thyroidectomy to remove the possible root source of recurrent PTC.…”

Section: Figure 1 the Algorithm Of Thyroid Mass Management And Diagnosismentioning

confidence: 99%

“…6 Specifically, PTC in the pyramidal lobe is extremely rare. 7 Fortunately, PTC is popular for its low malignant potential, less aggressive, and good prognosis. 8 Patients under 45 yo, even with neck lymph nodes spreading presentation, have around a 97% ten years survival rate.…”

Section: Introductionmentioning

confidence: 99%

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Papillary thyroid carcinoma post total thyroidectomy: a case report

Darwito,

Ardha,

Sari

et al. 2023

IJPTher

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Thyroid malignancies are considered rare but it is the most common type of endocrine malignancy that increase rapidly over the past decades. Specifically, papillary thyroid carcinoma (PTC) in the pyramidal lobe is extremely rare. Herein, we described a case of recurrence case of PTC in the pyramidal lobe post total thyroidectomy with category VI T2N1M1 (Bethesda classification) with right neck lymph nodes metastasis at once and attempt to determine both clinical presentation and therapeutical strategies to overcome this case to diminish the possibility of tumor recurrence and optimize therapeutic outcomes for PTC recurrence. It was reported a 28 yo female with a diagnosis of PTC from the pyramidal lobe post-total thyroidectomy procedure. A definite diagnosis of PTC is important to understand the patient's condition and as a consideration to decide the appropriate procedure to cure it. The management of PTC with total thyroidectomy followed by removing the possible root source of recurrent PTC, such as the pyramidal lobe, is mandatory to minimize the residual thyroid tissue that dan influenced PTC recurrent. Even though almost all PTC has an excellent prognosis, periodic follow-up after surgery, and patients’ adherence to their medication are still required.

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Section: Figure 1 the Algorithm Of Thyroid Mass Management And Diagnosismentioning

confidence: 99%

Section: Figure 1 the Algorithm Of Thyroid Mass Management And Diagnosismentioning

confidence: 99%