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Endocrine Pathology

, Volume 28, Issue 2, pp 112–120 | Cite as

Diagnosis and Treatment of Metastases to the Thyroid Gland: a Meta-Analysis

  • Patrizia Straccia
  • Claudia Mosseri
  • Chiara Brunelli
  • Esther Diana Rossi
  • Celestino Pio Lombardi
  • Alfredo Pontecorvi
  • Guido Fadda
Article

Abstract

The thyroid is a rare site of clinically detectable tumor metastases; even though the gland is a highly vascularized structure, the frequency of metastases in the routine practice is less than 0.2% of all thyroid malignancies. The purpose of our meta-analysis is to evaluate the frequency of metastatic diffusion from other primary tumors to the thyroid gland and to suggest the best possible treatment through an evidence-based study. Relevant studies were identified by searching the following databases: PubMed, Scopus, and Web of Science. We selected all English-written articles published from 1995 to 2015. Studies were considered eligible if they reported the timing of metastatic spread and the site of the primary tumor in respect to the diaphragmatic region. Case reports were not included. Twenty-eight studies accounted for 514 patients. The rate of metachronous metastases was 69%. Fifty-three percent of primaries originated from the infradiaphragmatic region. Fine needle aspiration biopsy (FNAB) was done in 154 patients and 195 patients were treated mostly with surgery. A prevalence of primary tumors from the infradiaphragmatic region and of metachronous metastases was observed. Knowledge of the clinical history and the ancillary techniques can improve the sensitivity and accuracy of FNAB. Thyroidectomy may be considered a more effective treatment than radio-chemotherapy.

Keywords

Meta-analysis Thyroid neoplasm Metastasis Diagnosis Surgery 

Notes

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

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Copyright information

© Springer Science+Business Media New York 2017

Authors and Affiliations

  • Patrizia Straccia
    • 1
  • Claudia Mosseri
    • 1
  • Chiara Brunelli
    • 1
  • Esther Diana Rossi
    • 1
  • Celestino Pio Lombardi
    • 2
  • Alfredo Pontecorvi
    • 3
  • Guido Fadda
    • 1
  1. 1.Division of Anatomic Pathology and Histology Catholic University of Sacred HeartFoundation “Agostino Gemelli” University HospitalRomeItaly
  2. 2.Division of Endocrine Surgery, Catholic University of Sacred HeartFoundation “Agostino Gemelli” University HospitalRomeItaly
  3. 3.Division of Endocrinology, Catholic University of Sacred HeartFoundation “Agostino Gemelli” University HospitalRomeItaly

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