Cutaneous implantation of papillary thyroid carcinoma secondary to percutaneous ethanol injection into nodal metastasis

Rodríguez‐Lomba, Enrique; Molina-López, Irene; Parra‐Blanco, Verónica; Suárez‐Fernández, Ricardo; Ciudad-Blanco, C.

doi:10.1111/jdv.14440

Cited by 8 publications

(6 citation statements)

References 10 publications

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“…Based on a systemic review of the use of EA or RFA to treat recurrent thyroid cancer, the pooled proportion of the complication rate of EA was lower than that of RFA (0.8% vs. 5.8%), although this difference was not significant ( p = 0.8479) (76). Several previous investigations have reported the complications of EA of recurrent thyroid cancer (2930313234357578104) (Table 1). Potential complications of EA include local pain or discomfort, hoarseness, radiating pain to the teeth, jaw, head and chest, and tumor implantation through the needle track (78).…”

Section: Complicationsmentioning

confidence: 99%

“…Tumor implantation through the needle track is a very rare complication of EA in cases with recurrent thyroid cancer. A case of cutaneous implantation of papillary thyroid cancer originating from a metastatic lymph node in the left paratracheal area that occurred a few months after EA was reported (104). Because this rare complication is clinically relevant, physicians should take into account that this can occur months to years after EA.…”

Section: Complicationsmentioning

confidence: 99%

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Ethanol Ablation of the Thyroid Nodules: 2018 Consensus Statement by the Korean Society of Thyroid Radiology

et al. 2019

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Minimally invasive treatment of symptomatic thyroid nodules is now commonplace. Ethanol ablation (EA) of thyroid cystic nodules has been performed since the 1990s, but there is no global consensus or guideline. Although various limitations of EA have been described, recommendations for practical application are necessary. Therefore, the Task Force Committee of the Korean Society of Thyroid Radiology initiated the present consensus statement and here we provide recommendations for the role of EA in the management of symptomatic thyroid nodules. These recommendations are based on evidence to date from the literature and expert opinion.

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Section: Complicationsmentioning

confidence: 99%

Section: Complicationsmentioning

confidence: 99%

Ethanol Ablation of the Thyroid Nodules: 2018 Consensus Statement by the Korean Society of Thyroid Radiology

et al. 2019

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“…These guidelines consider different known complications of sclerotherapy, such as localized pain, hematoma, facial flushing, drunken sense, hoarseness, dyspnea, and temporary hyperthyroidism. In malignant cases, tumor implantation can occur as a very rare complication that can occur months to years after PEI [ 15 ].…”

Section: Discussionmentioning

confidence: 99%

Sonographic changes in the thyroid gland after sclerotherapy with doxycycline can be mistaken for thyroid cancer

Raeymaeckers,

Tosi,

Sol

et al. 2023

Thyroid Res

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Background The literature considers sclerotherapy to be a safe and effective treatment for benign thyroid cysts. No subsequent diagnostic problems have been reported as a complication. We report the occurrence of focal inflammation after said therapy, mimicking a thyroid malignancy. Case presentation We report a case of a young male with a solitary strongly suspicious lesion in the thyroid. The patient had undergone prior sclerotherapy of a thyroid cyst with Doxycycline. The lesion appeared to be a focal area of inflammation and thus iatrogenic in nature. Systemic use of doxycycline is known to sometimes cause a non-immune chemical thyroiditis, dubbed as black thyroid due to the intense black discoloration of the thyroid. It might be that the instillation of doxycycline was responsible for a similar, more localized area of thyroiditis. Conclusions For the work-up of a solitary suspicious thyroid lesion, the medical history of the patient should always be considered. In case of prior ipsilateral sclerotherapy, a reactive inflammatory response may mimic thyroid malignancy. A fine needle aspiration should be performed to exclude thyroid cancer. Treatment is not necessary; the process appears to be self-limiting as evidenced in the follow-up of this case.

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“…The diagnosis is difficult to establish unless an index of suspicion is positive (17,18,19). Reports of skin metastases include subjects with follicular and papillary subtypes and also papillary with follicular variant or anaplastic forms among follicular epithelium derived malignancies (11,12,20,21).…”

Section: Skin Metastasesmentioning

confidence: 99%

Skin metastasis as incidental finding in follicular epithelium derived – thyroid cancer

Şandru¹,

Valea²,

Albu³

et al. 2020

Ro J Med Pract.

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Skin metastases are not typical. Malignancies like mammary cancer (most frequent in females) and pulmonary neoplasia (most frequent in males) represent the majority and exceptional findings are in those originating from thyroid, prostate, ovaries and oesophagus, usually in advanced, generally disseminated stages, with a poor prognosis. It may be found more often in elderly patients. We aim to present some practical aspects of skin metastases in thyroid cancer that originates from follicular thyroid epithelium. This is a brief literature review. The level of evidence is poor since most data is provided from cases reports. Cutaneous malignant lumps are rarely the first sign of disease, mostly associating a cancer relapse. The location varies from neck and head (majority) to exceptional sites as chest wall and of variable rate for scalp. Underling neck muscle or Meckel's cave metastasis may be associated. The lesion is usually a lump of medium to small size, sometimes of papular appearance, without local pain (but depends on the site); it may associate erythema. The diagnosis is difficult unless an index of suspicion is positive (in which case whole body radioiodine scintigram may be useful). Biopsy and histological report are essential for diagnosis especially in cases without an evident connection to a prior/synchronous thyroid malignancy. Knowing the exceptional prevalence, the need for awareness in this particular topic is connected with a multidisciplinary daily practice.

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Cutaneous implantation of papillary thyroid carcinoma secondary to percutaneous ethanol injection into nodal metastasis

Cited by 8 publications

References 10 publications

Ethanol Ablation of the Thyroid Nodules: 2018 Consensus Statement by the Korean Society of Thyroid Radiology

Ethanol Ablation of the Thyroid Nodules: 2018 Consensus Statement by the Korean Society of Thyroid Radiology

Sonographic changes in the thyroid gland after sclerotherapy with doxycycline can be mistaken for thyroid cancer

Skin metastasis as incidental finding in follicular epithelium derived – thyroid cancer

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