Subcutaneous Soft Tissue Implantation of Papillary Thyroid Carcinoma after Endoscopic Thyroidectomy

• 영문명: Subcutaneous Soft Tissue Implantation of Papillary Thyroid Carcinoma after Endoscopic Thyroidectomy
• 발행기관: 대한내분비외과학회
• 저자명: Jihyoung Cho Sun Hee Kang
• 간행물 정보: 『The Koreran journal of Endocrine Surgery』14권4호, 235~239쪽, 전체 5쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2014.12.30

영문 초록

Endoscopic thyroidectomy with bilateral axillo-breast approach (BABA) is a feasible method of thyroidectomy with good surgical outcome and excellent cosmetic result as compared with conventional open thyroidectomy in selective patients. Thus, endoscopic thyroidectomy is widely used in treatment of thyroid diseases. However, despite the many advantages, we sometimes encounter unexpected complication, such as neck stiffness caused by adhesion, change of sensory, seroma formation, and subcutaneous soft tissue implantation. Subcutaneous soft tissue implantation of thyroid tissue is a very rare complication of thyroid surgery. However, it is troublesome to both patient and doctor. We experienced a case of papillary thyroid carcinoma recurrence at anterior and antero-lateral subcutaneous area after endoscopic total thyroidectomy. Our case presented with a papillary thyroid carcinoma measuring 2.1 cm in size and showed thyroidal capsule invasion and extra-thyroidal extension on the permanent pathologic report. Therefore, we suggest that appropriate indications should be applied for an endoscopic thyroidectomy and efforts should be made to decrease tumor cell spillage in order to prevent tumor rupture, and for careful handling and protection of the extraction site.