Metastasis to the thyroid diagnosed by fine-needle aspiration biopsy
Summary Background Metastasis to the thyroid is uncommon, but the number of cases seems to have increased in recent years. This increase may be related to more frequent use of fine‐needle aspiration biopsy (FNAB) in any suspected case. Design A retrospective review of patients with thyroid metasta...
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Published in | Clinical endocrinology (Oxford) Vol. 62; no. 2; pp. 236 - 241 |
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Main Authors | , , , , |
Format | Journal Article |
Language | English |
Published |
Oxford, UK
Blackwell Science Ltd
01.02.2005
Blackwell Wiley Subscription Services, Inc |
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Abstract | Summary
Background Metastasis to the thyroid is uncommon, but the number of cases seems to have increased in recent years. This increase may be related to more frequent use of fine‐needle aspiration biopsy (FNAB) in any suspected case.
Design A retrospective review of patients with thyroid metastasis diagnosed by FNAB at the Asan Medical Centre.
Patients Twenty‐two patients who were seen at the Asan Medical Centre between 1997 and 2003. Median age was 55 years with range between 34 and 74 years.
Results Fourteen patients presented with a palpable thyroid nodule. Eight patients had an impalpable thyroid nodule that was found incidentally during the various imaging studies. The breast (five patients) was the most common primary site followed by the kidney (three), colon (three) and lung (three). FNAB confirmed metastatic disease in 19 patients and raised suspicion in three patients. The suspicion of metastasis to the thyroid was confirmed by Tru‐cut needle core biopsy in one patient and surgery in two patients. Thyroid metastases were found during the initial work‐up for primary tumour in eight patients. In the remaining 14 patients, the interval from diagnosis of primary tumour to the detection of thyroid metastasis varied from 8 months to 15 years, with a median of 54 months. Fifteen patients had metastatic disease elsewhere at the time of presentation. Ten patients received chemotherapy. Radiotherapy was used in two patients. Seven patients are still alive, with one patient disease free for 16 months following resection of the thyroid metastasis.
Conclusions Thyroid metastases are uncommon but can be detected more frequently with routine use of FNAB. Breast cancer is the most common tumour that metastasizes to the thyroid. They usually occur when there are metastases elsewhere, sometimes many years after the diagnosis of the original primary tumour and show poor prognosis in general. |
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AbstractList | Metastasis to the thyroid is uncommon, but the number of cases seems to have increased in recent years. This increase may be related to more frequent use of fine-needle aspiration biopsy (FNAB) in any suspected case.
A retrospective review of patients with thyroid metastasis diagnosed by FNAB at the Asan Medical Centre.
Twenty-two patients who were seen at the Asan Medical Centre between 1997 and 2003. Median age was 55 years with range between 34 and 74 years.
Fourteen patients presented with a palpable thyroid nodule. Eight patients had an impalpable thyroid nodule that was found incidentally during the various imaging studies. The breast (five patients) was the most common primary site followed by the kidney (three), colon (three) and lung (three). FNAB confirmed metastatic disease in 19 patients and raised suspicion in three patients. The suspicion of metastasis to the thyroid was confirmed by Tru-cut needle core biopsy in one patient and surgery in two patients. Thyroid metastases were found during the initial work-up for primary tumour in eight patients. In the remaining 14 patients, the interval from diagnosis of primary tumour to the detection of thyroid metastasis varied from 8 months to 15 years, with a median of 54 months. Fifteen patients had metastatic disease elsewhere at the time of presentation. Ten patients received chemotherapy. Radiotherapy was used in two patients. Seven patients are still alive, with one patient disease free for 16 months following resection of the thyroid metastasis.
Thyroid metastases are uncommon but can be detected more frequently with routine use of FNAB. Breast cancer is the most common tumour that metastasizes to the thyroid. They usually occur when there are metastases elsewhere, sometimes many years after the diagnosis of the original primary tumour and show poor prognosis in general. Summary Background Metastasis to the thyroid is uncommon, but the number of cases seems to have increased in recent years. This increase may be related to more frequent use of fine‐needle aspiration biopsy (FNAB) in any suspected case. Design A retrospective review of patients with thyroid metastasis diagnosed by FNAB at the Asan Medical Centre. Patients Twenty‐two patients who were seen at the Asan Medical Centre between 1997 and 2003. Median age was 55 years with range between 34 and 74 years. Results Fourteen patients presented with a palpable thyroid nodule. Eight patients had an impalpable thyroid nodule that was found incidentally during the various imaging studies. The breast (five patients) was the most common primary site followed by the kidney (three), colon (three) and lung (three). FNAB confirmed metastatic disease in 19 patients and raised suspicion in three patients. The suspicion of metastasis to the thyroid was confirmed by Tru‐cut needle core biopsy in one patient and surgery in two patients. Thyroid metastases were found during the initial work‐up for primary tumour in eight patients. In the remaining 14 patients, the interval from diagnosis of primary tumour to the detection of thyroid metastasis varied from 8 months to 15 years, with a median of 54 months. Fifteen patients had metastatic disease elsewhere at the time of presentation. Ten patients received chemotherapy. Radiotherapy was used in two patients. Seven patients are still alive, with one patient disease free for 16 months following resection of the thyroid metastasis. Conclusions Thyroid metastases are uncommon but can be detected more frequently with routine use of FNAB. Breast cancer is the most common tumour that metastasizes to the thyroid. They usually occur when there are metastases elsewhere, sometimes many years after the diagnosis of the original primary tumour and show poor prognosis in general. BACKGROUNDMetastasis to the thyroid is uncommon, but the number of cases seems to have increased in recent years. This increase may be related to more frequent use of fine-needle aspiration biopsy (FNAB) in any suspected case.DESIGNA retrospective review of patients with thyroid metastasis diagnosed by FNAB at the Asan Medical Centre.PATIENTSTwenty-two patients who were seen at the Asan Medical Centre between 1997 and 2003. Median age was 55 years with range between 34 and 74 years.RESULTSFourteen patients presented with a palpable thyroid nodule. Eight patients had an impalpable thyroid nodule that was found incidentally during the various imaging studies. The breast (five patients) was the most common primary site followed by the kidney (three), colon (three) and lung (three). FNAB confirmed metastatic disease in 19 patients and raised suspicion in three patients. The suspicion of metastasis to the thyroid was confirmed by Tru-cut needle core biopsy in one patient and surgery in two patients. Thyroid metastases were found during the initial work-up for primary tumour in eight patients. In the remaining 14 patients, the interval from diagnosis of primary tumour to the detection of thyroid metastasis varied from 8 months to 15 years, with a median of 54 months. Fifteen patients had metastatic disease elsewhere at the time of presentation. Ten patients received chemotherapy. Radiotherapy was used in two patients. Seven patients are still alive, with one patient disease free for 16 months following resection of the thyroid metastasis.CONCLUSIONSThyroid metastases are uncommon but can be detected more frequently with routine use of FNAB. Breast cancer is the most common tumour that metastasizes to the thyroid. They usually occur when there are metastases elsewhere, sometimes many years after the diagnosis of the original primary tumour and show poor prognosis in general. Summary Background Metastasis to the thyroid is uncommon, but the number of cases seems to have increased in recent years. This increase may be related to more frequent use of fine‐needle aspiration biopsy (FNAB) in any suspected case. Design A retrospective review of patients with thyroid metastasis diagnosed by FNAB at the Asan Medical Centre. Patients Twenty‐two patients who were seen at the Asan Medical Centre between 1997 and 2003. Median age was 55 years with range between 34 and 74 years. Results Fourteen patients presented with a palpable thyroid nodule. Eight patients had an impalpable thyroid nodule that was found incidentally during the various imaging studies. The breast (five patients) was the most common primary site followed by the kidney (three), colon (three) and lung (three). FNAB confirmed metastatic disease in 19 patients and raised suspicion in three patients. The suspicion of metastasis to the thyroid was confirmed by Tru‐cut needle core biopsy in one patient and surgery in two patients. Thyroid metastases were found during the initial work‐up for primary tumour in eight patients. In the remaining 14 patients, the interval from diagnosis of primary tumour to the detection of thyroid metastasis varied from 8 months to 15 years, with a median of 54 months. Fifteen patients had metastatic disease elsewhere at the time of presentation. Ten patients received chemotherapy. Radiotherapy was used in two patients. Seven patients are still alive, with one patient disease free for 16 months following resection of the thyroid metastasis. Conclusions Thyroid metastases are uncommon but can be detected more frequently with routine use of FNAB. Breast cancer is the most common tumour that metastasizes to the thyroid. They usually occur when there are metastases elsewhere, sometimes many years after the diagnosis of the original primary tumour and show poor prognosis in general. |
Author | Kim, Tae Yong Gong, Gyungyub Hong, Suck Joon Kim, Won Bae Shong, Young Kee |
Author_xml | – sequence: 1 givenname: Tae Yong surname: Kim fullname: Kim, Tae Yong organization: Departments of Internal Medicine – sequence: 2 givenname: Won Bae surname: Kim fullname: Kim, Won Bae organization: Departments of Internal Medicine – sequence: 3 givenname: Gyungyub surname: Gong fullname: Gong, Gyungyub organization: Pathology and – sequence: 4 givenname: Suck Joon surname: Hong fullname: Hong, Suck Joon organization: Surgery, Asan Medical Centre, University of Ulsan College of Medicine, Seoul, Korea – sequence: 5 givenname: Young Kee surname: Shong fullname: Shong, Young Kee email: ykshong@amc.seoul.kr organization: Departments of Internal Medicine |
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(e_1_2_5_31_2) 1975; 112 e_1_2_5_19_2 e_1_2_5_30_2 |
References_xml | – volume: 9 start-page: 306 year: 1956 end-page: 309 article-title: Secondary malignant tumors of the thyroid gland publication-title: Cancer – volume: 7 start-page: 187 year: 1931 end-page: 208 article-title: Metastatic tumours in the thyroid gland publication-title: American Journal of Pathology – volume: 59 start-page: 291 year: 1955 end-page: 311 article-title: Critical analysis of two hundred twenty‐one thyroid glands; study of thyroid glands obtained at necropsy in Colorado publication-title: American Medical Association Archives of Pathology – volume: 113 start-page: 21 year: 1974 end-page: 25 article-title: Clear cell renal carcinoma masquerading as thyroid enlargement publication-title: Journal of Pathology – volume: 147 start-page: 311 year: 1987 end-page: 312 article-title: Fine‐needle aspiration. Usefulness for diagnosis and management of metastatic carcinoma to the thyroid publication-title: Archives of Internal Medicine – volume: 13 start-page: 209 year: 1995 end-page: 213 article-title: Metastases to the thyroid gland: diagnosis by aspiration cytology publication-title: Diagnostic Cytopathology – volume: 112 start-page: 719 year: 1975 article-title: Solitary thyroid metastasis from clear‐cell renal carcinoma publication-title: Canadian Medical Association Journal – volume: 155 start-page: 503 year: 1982 end-page: 505 article-title: Neoplasms metastatic to the thyroid gland publication-title: Surgery, Gynecology and Obstetrics – volume: 17 start-page: 15 year: 1981 end-page: 23 article-title: Surgical treatment of metastatic disease in the thyroid gland publication-title: Journal of Surgical Oncology – volume: 23 start-page: 177 year: 1999 end-page: 180 article-title: Clinically significant, isolated metastatic disease to the thyroid gland publication-title: World Journal of Surgery – volume: 4 start-page: 59 year: 1977 end-page: 64 article-title: Unusual sites of metastases publication-title: Seminars in Oncology – volume: 59 start-page: 856 year: 1984 end-page: 859 article-title: Cancer metastatic to the thyroid: a diagnostic problem publication-title: Mayo Clinic Proceedings – volume: 74 start-page: 175 year: 1966 end-page: 180 article-title: Metastatic tumors in the thyroid publication-title: Pacific Medical Surgery – volume: 18 start-page: 282 year: 1965 end-page: 287 article-title: Secondary neoplasm of the thyroid presenting as a goitre publication-title: Journal of Clinical Pathology – volume: 2 start-page: 252 year: 1995 end-page: 256 article-title: Secondary malignancy of the thyroid gland and its management publication-title: Annals of Surgical Oncology – volume: 150 start-page: 519 year: 1985 end-page: 523 article-title: Clinical and pathologic correlations in disease metastatic to the thyroid gland publication-title: American Journal of Surgery – volume: 293 start-page: 13 year: 1987 end-page: 17 article-title: Carcinoma metastatic to the thyroid: prevalence and diagnosis by fine‐needle aspiration cytology publication-title: American Journal of Medical Sciences – volume: 10 start-page: 407 year: 1934 end-page: 412 article-title: Microscopic metastases in the thyroid gland publication-title: American Journal of Pathology – start-page: 1 year: 1977 end-page: 235 – volume: 15 start-page: 557 year: 1962 end-page: 565 article-title: Metastatic neoplasms in the thyroid gland. Pathological and clinical findings publication-title: Cancer – volume: 31 start-page: 705 year: 1987 end-page: 712 article-title: Value of aspiration cytology of the thyroid in metastatic disease publication-title: Acta Cytologica – volume: 51 start-page: 509 year: 1977 end-page: 512 article-title: Tumour metastasis to the thyroid gland publication-title: South African Medical Journal – volume: 44 start-page: 393 year: 2000 end-page: 398 article-title: Use of immunohistochemistry in fine needle aspiration of thyroid nodules in patients with a history of malignancy. A report of two cases publication-title: Acta Cytologica – volume: 45 start-page: 429 year: 1966 end-page: 439 article-title: Clear cell carcinoma of the thyroid publication-title: International Surgery – volume: 122 start-page: 37 year: 1998 end-page: 41 article-title: Metastatic tumors of the thyroid gland: a study of 79 cases in Chinese patients publication-title: Archives of Pathology and Laboratory Medicine – volume: 151 start-page: 551 year: 1960 end-page: 561 article-title: Metastatic carcinoma masquerading as primary thyroid cancer: a report of authors’ 14 cases publication-title: Annals of Surgery – volume: 160 start-page: 169 year: 1964 end-page: 177 article-title: Metastasis of carcinoma to the thyroid gland publication-title: Annals of Surgery – volume: 113 start-page: 387 year: 1967 end-page: 389 article-title: Metastatic hypernephroma of the thyroid gland publication-title: American Journal of Surgery – volume: 14 start-page: 377 year: 2003 end-page: 379 article-title: Metastases to the thyroid gland – a report of six cases publication-title: European Journal of Internal Medicine – volume: 79 start-page: 574 year: 1997 end-page: 578 article-title: Metastasis to the thyroid gland. A report of 43 cases publication-title: Cancer – volume: 3 start-page: 74 year: 1950 end-page: 85 article-title: Metastases in carcinoma: analysis of 1000 autopsied cases publication-title: Cancer – volume: 30 start-page: 583 year: 2004 end-page: 588 article-title: Metastases to the thyroid gland: the Royal Marsden experience publication-title: European Journal of Surgical Oncology – volume: 11 start-page: 567 year: 1987 end-page: 580 article-title: Immunohistology of anaplastic thyroid carcinoma. 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Usefulness for diagnosis and management of metastatic carcinoma to the thyroid publication-title: Archives of Internal Medicine doi: 10.1001/archinte.1987.00370020129049 contributor: fullname: Smith S.A. – volume: 59 start-page: 291 year: 1955 ident: e_1_2_5_6_2 article-title: Critical analysis of two hundred twenty‐one thyroid glands; study of thyroid glands obtained at necropsy in Colorado publication-title: American Medical Association Archives of Pathology contributor: fullname: Hull O.H. – ident: e_1_2_5_27_2 doi: 10.1016/S0953-6205(03)90005-7 – volume: 122 start-page: 37 year: 1998 ident: e_1_2_5_11_2 article-title: Metastatic tumors of the thyroid gland: a study of 79 cases in Chinese patients publication-title: Archives of Pathology and Laboratory Medicine contributor: fullname: Lam K.Y. – ident: e_1_2_5_20_2 doi: 10.1016/0002-9610(85)90167-9 – ident: e_1_2_5_22_2 doi: 10.1097/00000441-198701000-00004 – ident: e_1_2_5_28_2 doi: 10.1016/j.ejso.2004.03.012 – ident: e_1_2_5_25_2 doi: 10.1007/BF02307032 – ident: e_1_2_5_26_2 doi: 10.1007/PL00013162 – volume: 45 start-page: 429 year: 1966 ident: e_1_2_5_34_2 article-title: Clear cell carcinoma of the thyroid publication-title: International Surgery contributor: fullname: Horowtiz J.J. – ident: e_1_2_5_8_2 doi: 10.1002/1097-0142(196205/06)15:3<557::AID-CNCR2820150315>3.0.CO;2-H – ident: e_1_2_5_13_2 doi: 10.1097/00000658-196408000-00001 – ident: e_1_2_5_17_2 doi: 10.1002/jso.2930170104 – ident: e_1_2_5_7_2 doi: 10.1002/1097-0142(195603/04)9:2<306::AID-CNCR2820090217>3.0.CO;2-I – ident: e_1_2_5_29_2 doi: 10.1016/0002-9610(67)90284-X – ident: e_1_2_5_5_2 doi: 10.1002/1097-0142(1950)3:1<74::AID-CNCR2820030111>3.0.CO;2-7 – ident: e_1_2_5_12_2 doi: 10.1097/00000658-196004000-00015 – ident: e_1_2_5_33_2 doi: 10.1159/000328485 – volume: 4 start-page: 59 year: 1977 ident: e_1_2_5_16_2 article-title: Unusual sites of metastases publication-title: Seminars in Oncology contributor: fullname: Brady L.W. – ident: e_1_2_5_30_2 doi: 10.1002/path.1711130103 – ident: e_1_2_5_14_2 doi: 10.1136/jcp.18.3.282 – ident: e_1_2_5_24_2 doi: 10.1002/dc.2840130306 – volume: 31 start-page: 705 year: 1987 ident: e_1_2_5_23_2 article-title: Value of aspiration cytology of the thyroid in metastatic disease publication-title: Acta Cytologica contributor: fullname: Chacho M.S. – volume: 112 start-page: 719 year: 1975 ident: e_1_2_5_31_2 article-title: Solitary thyroid metastasis from clear‐cell renal carcinoma publication-title: Canadian Medical Association Journal contributor: fullname: Madore P. – ident: e_1_2_5_32_2 doi: 10.1111/j.1365-2559.1987.tb02667.x – volume: 74 start-page: 175 year: 1966 ident: e_1_2_5_9_2 article-title: Metastatic tumors in the thyroid publication-title: Pacific Medical Surgery contributor: fullname: Silverman S.G. – ident: e_1_2_5_2_2 doi: 10.1002/(SICI)1097-0142(19970201)79:3<574::AID-CNCR21>3.0.CO;2-# |
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Background Metastasis to the thyroid is uncommon, but the number of cases seems to have increased in recent years. This increase may be related to... Metastasis to the thyroid is uncommon, but the number of cases seems to have increased in recent years. This increase may be related to more frequent use of... Summary Background Metastasis to the thyroid is uncommon, but the number of cases seems to have increased in recent years. This increase may be related to... BACKGROUNDMetastasis to the thyroid is uncommon, but the number of cases seems to have increased in recent years. This increase may be related to more frequent... |
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SubjectTerms | Adenocarcinoma - diagnosis Adenocarcinoma - secondary Adenocarcinoma - therapy Adult Aged Biological and medical sciences Biopsy, Needle Breast Neoplasms - therapy Carcinoma - diagnosis Carcinoma - secondary Carcinoma - therapy Carcinoma, Ductal, Breast - diagnosis Carcinoma, Ductal, Breast - secondary Carcinoma, Ductal, Breast - therapy Carcinoma, Squamous Cell - diagnosis Carcinoma, Squamous Cell - secondary Carcinoma, Squamous Cell - therapy Colonic Neoplasms - therapy Endocrinopathies Esophageal Neoplasms - therapy Female Fundamental and applied biological sciences. Psychology Humans Kidney Neoplasms - therapy Lung Neoplasms - therapy Male Medical sciences Middle Aged Retrospective Studies Sensitivity and Specificity Thyroid Neoplasms - diagnosis Thyroid Neoplasms - secondary Thyroid Neoplasms - therapy Vertebrates: endocrinology |
Title | Metastasis to the thyroid diagnosed by fine-needle aspiration biopsy |
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