Thyroid cells seeding along the transaxillary approach after robot-assisted transaxillary surgery (RATS) for a benign node
A 46-year-old female presented with a 4-month history of 5–30 mm subcutaneous nodules in the right supraclavicular, axillary, and pectoral areas (Fig. 1). She had undergone a lobo-isthmectomy for a 20 mm right follicular adenoma performed 8 years earlier by robot-assisted transaxillary surgery (RATS...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Bioscientifica
2023-01-01
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| Series: | European Thyroid Journal |
| Online Access: | https://etj.bioscientifica.com/view/journals/etj/11/6/ETJ-22-0115.xml |
| Summary: | A 46-year-old female presented with a 4-month history of 5–30 mm subcutaneous nodules in the right supraclavicular, axillary, and pectoral areas (Fig. 1). She had undergone a lobo-isthmectomy for a 20 mm right follicular adenoma performed 8 years earlier by robot-assisted transaxillary surgery (RATS). Benign colloid and thyroid cells were found in two successive fine needle aspirations. The CT scan revealed an ill-defined infiltrative lesion in the right central compartment with muscle and internal jugular vein invasion demonstrating a locally aggressive behavior. We suspected that malignant thyroid cells were seeding the tract of the transaxillary approach. |
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| ISSN: | 2235-0802 |