Abstract
Few reports have been concerned with the risk of needle track dissemination of tumor cells following fine-needle aspiration biopsy, especially for follicular thyroid nodules. A 61-year-old woman who underwent fine-needle aspiration biopsy and surgery 5 years previously for follicular thyroid adenoma presented with nodules that had developed in the sternocleidomastoid and omohyoid muscles of the anterior neck. These nodules were located along a line from the skin to the thyroid that coincided with the needle track of the previous biopsy. Following surgical resection, histological diagnosis determined the nodules to be follicular carcinoma. The clinical course and linear arrangement of the lesions were highly suggestive of needle track dissemination of tumor cells following fine-needle aspiration biopsy. Although fine-needle aspiration biopsy is a useful tool for the diagnosis of thyroid nodules, it is important to consider the risk of tumor cell dissemination.
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References
SA Hundhal ID Fleming AM Fremgen HR Menck (1998) ArticleTitleA National Cancer Data Base report on 53.856 cases of thyroid carcinoma treated in the U.S., 1985–1995 (see comments) Cancer 83 2434–6 Occurrence Handle10.1002/(SICI)1097-0142(19981215)83:12<2434::AID-CNCR5>3.0.CO;2-M
JL Morgan JW Serpell MS Cheng (2003) ArticleTitleFine-needle aspiration cytology of thyroid nodules: how useful is it? Aust N Z J Surg 73 480–3 Occurrence Handle10.1046/j.1445-1433.2003.02670.x
S Agrawal (1995) ArticleTitleDiagnostic accuracy and role of fine needle aspiration cytology in management of thyroid nodules J Surg Oncol 58 168–72 Occurrence Handle7898112 Occurrence Handle1:STN:280:DyaK2M3gsFyrug%3D%3D
EL Mazzaferri (1993) ArticleTitleManagement of a solitary thyroid nodule N Engl J Med 328 553–9 Occurrence Handle8426623 Occurrence Handle10.1056/NEJM199302253280807 Occurrence Handle1:STN:280:DyaK3s7kvFaiuw%3D%3D
PI Haigh (2002) ArticleTitleFollicular thyroid carcinoma Curr Treat Options Oncol 3 349–54 Occurrence Handle12074771
A Stolier J Skinner EA Levine (2000) ArticleTitleA prospective study of seeding of the skin after core biopsy of the breast Am J Surg 180 104–7 Occurrence Handle11044522 Occurrence Handle10.1016/S0002-9610(00)00425-6 Occurrence Handle1:STN:280:DC%2BD3M%2FjvFCrsg%3D%3D
MG Thurfjell T Jansson H Nordgren J Bergh A Lindgren E Thurfjell (2000) ArticleTitleLocal breast cancer recurrence caused by mammographically guided puncture Acta Radiol 41 435–40 Occurrence Handle11016762 Occurrence Handle10.1080/028418500127345884 Occurrence Handle1:STN:280:DC%2BD3cvmtl2gsA%3D%3D
EH Smith (1991) ArticleTitleComplications of percutaneous abdominal fine needle biopsy: review Radiology 178 253–8 Occurrence Handle1984314 Occurrence Handle1:STN:280:DyaK3M%2FnsV2qsw%3D%3D
BF Atkinson (1993) ArticleTitleFine needle aspiration of the thyroid Monogr Pathol 35 166–99 Occurrence Handle8502250
JK Karwowski KW Nowels IR McDougall RJ Weigel (2002) ArticleTitleNeedle track seeding of papillary thyroid carcinoma from fine needle aspiration biopsy. A case report Acta Cytol 46 591–5 Occurrence Handle12040660
SM Hales SF Hsu (1990) ArticleTitleNeedle tract implantation of papillary carcinoma of the thyroid following aspiration biopsy Acta Cytol 34 801–4 Occurrence Handle2256415 Occurrence Handle1:STN:280:DyaK3M%2FnsF2msg%3D%3D
C Panunzi DS Paliotta E Papini L Petrucci R Rinaldi F Nardi (1994) ArticleTitleCutaneous seeding of a follicular thyroid cancer after fine-needle aspiration Diagn Cytopathol 10 156–8 Occurrence Handle8187596 Occurrence Handle1:STN:280:DyaK2c3ksVeqsw%3D%3D
LD Thompson JA Wieneke E Paal RA Frommelt CF Adair CS Heffess (2001) ArticleTitleA clinicopathologic study of minimally invasive follicular carcinoma of the thyroid gland with a review of the English literature Cancer 91 505–24 Occurrence Handle11169933 Occurrence Handle10.1002/1097-0142(20010201)91:3<505::AID-CNCR1029>3.0.CO;2-6 Occurrence Handle1:STN:280:DC%2BD3M7ktFOhuw%3D%3D
InstitutionalAuthorNameGuidelines of the Papanicolaou Society of Cytopathology for the Examination of Fine-Needle Aspiration Specimens from Thyroid Nodules (1996) ArticleTitleThe Papanicolaou Society of Cytopathology Task Force on Standards of Practice Mod Pathol 9 710–5
Y Ito C Tomoda T Uruno Y Takamura A Miya K Kobayasji et al. (2005) ArticleTitleNeedle tract implantation of papillary thyroid carcinoma after fine-needle aspiration biopsy World J Surg 29 1544–9 Occurrence Handle16311845 Occurrence Handle10.1007/s00268-005-0086-x
AJ Mighell AS High (1998) ArticleTitleHistological identification of carcinoma in 21 gauge needle tracks after fine needle aspiration biopsy of head and neck carcinoma J Clin Pathol 51 241–52 Occurrence Handle9659269 Occurrence Handle1:STN:280:DyaK1czitlCjtw%3D%3D Occurrence Handle10.1136/jcp.51.3.241
E Papini L Petrucci R Guglielmi C Panunzi R Rinaldi V Bacci et al. (1998) ArticleTitleLong-term changes in nodular goiter: a 5-year prospective randomized trial of levothyroxine suppressive therapy for benign cold thyroid nodules J Clin Endocrinol Metab 83 780–3 Occurrence Handle9506726 Occurrence Handle10.1210/jc.83.3.780 Occurrence Handle1:CAS:528:DyaK1cXivFOhurc%3D
L Fogelfeld MB Wiviott E Shore-Freedman M Blend C Bekerman S Pinsky et al. (1989) ArticleTitleRecurrence of thyroid nodules after surgical removal in patients irradiated in childhood for benign conditions N Engl J Med 320 835–40 Occurrence Handle2927450 Occurrence Handle1:STN:280:DyaL1M7otFygsg%3D%3D Occurrence Handle10.1056/NEJM198903303201304
DS Ross (1994) ArticleTitleHyperthyroidism, thyroid hormone therapy, and bone Thyroid 4 319–26 Occurrence Handle7833670 Occurrence Handle1:STN:280:DyaK2M7jsFWgsw%3D%3D
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Uchida, N., Suda, T., Inoue, T. et al. Needle Track Dissemination of Follicular Thyroid Carcinoma Following Fine-Needle Aspiration Biopsy: Report of a Case. Surg Today 37, 34–37 (2007). https://doi.org/10.1007/s00595-006-3331-5
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DOI: https://doi.org/10.1007/s00595-006-3331-5