Primary thyroid gland myxofibrosarcoma: a case report and review of the literature

Abstract Background Myxofibrosarcoma is a common soft tissue sarcoma of the extremities, which occurs very rarely in the thyroid gland. Case presentation We report the case of a 61-year-old male who presented with a swelling of the left side of the neck and a newly emerged hoarseness. Ultrasound dep...

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Main Authors: Maria Chara Stylianidi, Lena Haeberle, Matthias Schott, Yuriko Mori, Christina Antke, Frederick Lars Giesel, Gerald Antoch, Irene Esposito, Wolfram Trudo Knoefel, Andreas Krieg
Format: Article
Language:English
Published: SpringerOpen 2022-07-01
Series:Surgical Case Reports
Subjects:
Online Access:https://doi.org/10.1186/s40792-022-01496-5
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author Maria Chara Stylianidi
Lena Haeberle
Matthias Schott
Yuriko Mori
Christina Antke
Frederick Lars Giesel
Gerald Antoch
Irene Esposito
Wolfram Trudo Knoefel
Andreas Krieg
author_facet Maria Chara Stylianidi
Lena Haeberle
Matthias Schott
Yuriko Mori
Christina Antke
Frederick Lars Giesel
Gerald Antoch
Irene Esposito
Wolfram Trudo Knoefel
Andreas Krieg
author_sort Maria Chara Stylianidi
collection DOAJ
description Abstract Background Myxofibrosarcoma is a common soft tissue sarcoma of the extremities, which occurs very rarely in the thyroid gland. Case presentation We report the case of a 61-year-old male who presented with a swelling of the left side of the neck and a newly emerged hoarseness. Ultrasound depicted a hypoechoic thyroid nodule with microcalcifications that was highly suspicious for malignancy. He underwent a left hemithyroidectomy. Histopathological examination and immunohistochemical studies revealed a myxofibrosarcoma of the thyroid gland. Conclusion Myxofibrosarcoma of the thyroid gland is extremely rare. The diagnosis is based on histopathological features. Radical surgery achieving tumor-free resection margins remains the only chance for cure. However, the role of radiotherapy and/or chemotherapy is still under debate. Due to their high tendency for locoregional recurrence, a close follow-up after surgery is mandatory.
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spelling doaj.art-d26e181c99cb4dd5a4e272a8b39b0f162022-12-22T02:05:29ZengSpringerOpenSurgical Case Reports2198-77932022-07-01811810.1186/s40792-022-01496-5Primary thyroid gland myxofibrosarcoma: a case report and review of the literatureMaria Chara Stylianidi0Lena Haeberle1Matthias Schott2Yuriko Mori3Christina Antke4Frederick Lars Giesel5Gerald Antoch6Irene Esposito7Wolfram Trudo Knoefel8Andreas Krieg9Department of Surgery (A), Medical Faculty, Heinrich-Heine-University and University Hospital DuesseldorfInstitute of Pathology, Medical Faculty, Heinrich-Heine-University and University Hospital DuesseldorfDivision for Specific Endocrinology, Medical Faculty, Heinrich-Heine-University and University Hospital DuesseldorfDepartment of Nuclear Medicine, Medical Faculty, Heinrich-Heine-University and University Hospital DuesseldorfDepartment of Nuclear Medicine, Medical Faculty, Heinrich-Heine-University and University Hospital DuesseldorfDepartment of Nuclear Medicine, Medical Faculty, Heinrich-Heine-University and University Hospital DuesseldorfDepartment of Diagnostic and Interventional Radiology, Medical Faculty, Heinrich-Heine-University and University Hospital DuesseldorfInstitute of Pathology, Medical Faculty, Heinrich-Heine-University and University Hospital DuesseldorfDepartment of Surgery (A), Medical Faculty, Heinrich-Heine-University and University Hospital DuesseldorfDepartment of Surgery (A), Medical Faculty, Heinrich-Heine-University and University Hospital DuesseldorfAbstract Background Myxofibrosarcoma is a common soft tissue sarcoma of the extremities, which occurs very rarely in the thyroid gland. Case presentation We report the case of a 61-year-old male who presented with a swelling of the left side of the neck and a newly emerged hoarseness. Ultrasound depicted a hypoechoic thyroid nodule with microcalcifications that was highly suspicious for malignancy. He underwent a left hemithyroidectomy. Histopathological examination and immunohistochemical studies revealed a myxofibrosarcoma of the thyroid gland. Conclusion Myxofibrosarcoma of the thyroid gland is extremely rare. The diagnosis is based on histopathological features. Radical surgery achieving tumor-free resection margins remains the only chance for cure. However, the role of radiotherapy and/or chemotherapy is still under debate. Due to their high tendency for locoregional recurrence, a close follow-up after surgery is mandatory.https://doi.org/10.1186/s40792-022-01496-5Soft tissue sarcomaMyxofibrosarcomaThyroid gland
spellingShingle Maria Chara Stylianidi
Lena Haeberle
Matthias Schott
Yuriko Mori
Christina Antke
Frederick Lars Giesel
Gerald Antoch
Irene Esposito
Wolfram Trudo Knoefel
Andreas Krieg
Primary thyroid gland myxofibrosarcoma: a case report and review of the literature
Surgical Case Reports
Soft tissue sarcoma
Myxofibrosarcoma
Thyroid gland
title Primary thyroid gland myxofibrosarcoma: a case report and review of the literature
title_full Primary thyroid gland myxofibrosarcoma: a case report and review of the literature
title_fullStr Primary thyroid gland myxofibrosarcoma: a case report and review of the literature
title_full_unstemmed Primary thyroid gland myxofibrosarcoma: a case report and review of the literature
title_short Primary thyroid gland myxofibrosarcoma: a case report and review of the literature
title_sort primary thyroid gland myxofibrosarcoma a case report and review of the literature
topic Soft tissue sarcoma
Myxofibrosarcoma
Thyroid gland
url https://doi.org/10.1186/s40792-022-01496-5
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