Korean J Endocr Surg.  2007 Sep;7(3):164-167. 10.16956/kjes.2007.7.3.164.

A Case of Advanced Papillary Thyroid Cancer Associated with Skin Necrosis

Affiliations
  • 1Department of Surgery, Samsung Medical Center, School of Medicine, Sungkyunkwan University, Seoul, Korea. jskim0126@skku.edu

Abstract

Although the majority of differentiated thyroid cancers show an indolent course, about 15% of the cancers invade via extra-thyroidal extension (ETE). ETE usually occurs through direct spreading to the strap muscles, the sternocleidomastoid muscle, the recurrent laryngeal nerve, the trachea, the larynx, the esophagus, the pharynx, and/or the major vessels. Direct invasion to the subcutaneous tissue and overlying skin is possible but a rare scenario. We report a 66-year-old patient with locally aggressive papillary thyroid cancer accompanied by skin necrosis. The tumor was resected completely without removal of the overlying skin.

Keyword

Extra-thyroidal extension (ETE); Locally aggressive; Papillary thyroid cancer; Skin necrosis

MeSH Terms

Aged
Esophagus
Humans
Larynx
Muscles
Necrosis*
Pharynx
Recurrent Laryngeal Nerve
Skin*
Subcutaneous Tissue
Thyroid Gland*
Thyroid Neoplasms*
Trachea
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