Kim YH, Choi IH, Lee JE, Kim Z, Han SW, Hur SM, Lee J. Late recurrence of papillary thyroid cancer from needle tract implantation after core needle biopsy: A case report. World J Clin Cases 2021; 9(1): 218-223 [PMID: 33511188 DOI: 10.12998/wjcc.v9.i1.218]
Corresponding Author of This Article
Jihyoun Lee, MD, PhD, Associate Professor, Department of Surgery, Soonchunhyang University Seoul Hospital, 59, Daesagwan Road, Yongsan-gu, Seoul 04401, South Korea. lhthof@gmail.com
Research Domain of This Article
Oncology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Jan 6, 2021; 9(1): 218-223 Published online Jan 6, 2021. doi: 10.12998/wjcc.v9.i1.218
Late recurrence of papillary thyroid cancer from needle tract implantation after core needle biopsy: A case report
Yon-Hee Kim, In-Ho Choi, Jong-Eun Lee, Zisun Kim, Sun-Wook Han, Sung-Mo Hur, Jihyoun Lee
Yon-Hee Kim, In-Ho Choi, Department of Pathology, Soonchunhyang University Seoul Hospital, Seoul 04401, South Korea
Jong-Eun Lee, Sun-Wook Han, Department of Surgery, Soonchunhyang University Cheonan Hospital, Cheonan 31151, South Korea
Zisun Kim, Sung-Mo Hur, Department of Surgery, Soonchunhyang University Bucheon Hospital, Buchoen 14584, South Korea
Jihyoun Lee, Department ofSurgery, Soonchunhyang University Seoul Hospital, Seoul 04401, South Korea
Author contributions: Lee J and Kim YH designed research; Lee JH, Kim YH, Choi IH, Lee JE, Kim Z, Han SW, and Hur SM performed research, analyzed data, and wrote the paper; all authors have read and approve the final manuscript.
Informed consent statement: Approval from the institutional review board was obtained (IRB No. 2020-05-007) for this case review regarding to waiver of informed consent from the patient.
Conflict-of-interest statement: All authors have no potential conflicts of interest to disclose.
CARE Checklist (2016) statement: This case report was revised according to the CARE checklist.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jihyoun Lee, MD, PhD, Associate Professor, Department of Surgery, Soonchunhyang University Seoul Hospital, 59, Daesagwan Road, Yongsan-gu, Seoul 04401, South Korea. lhthof@gmail.com
Received: July 28, 2020 Peer-review started: July 28, 2020 First decision: November 3, 2020 Revised: November 5, 2020 Accepted: November 21, 2020 Article in press: November 21, 2020 Published online: January 6, 2021
Abstract
BACKGROUND
Papillary thyroid cancer (PTC) has good prognosis so that the local recurrence or distant metastasis can occur later on the lifetime follow up. In this study, we report recurrence of PTC in subcutaneous area combined with lymph node metastasis. A suspicion of needle tract implantation after core needle biopsy was found.
CASE SUMMARY
A 66-year-old female patients who underwent right thyroid lobectomy for PTC complained of palpable nodule on anterior neck area. The location of the palpable nodule was not associated with her postoperative scar. After excision of the skin tumor, it was diagnosed as recurrence of PTC. Furthermore, results of subsequent imaging showed lymph node metastasis on her right cervical area. According to the previous medical records, the patient received core needle biopsy through the neck of the patient midline and hematoma was noted after the procedure. The time interval from the first diagnosis to local recurrence or metastasis to the skin and lymph nodes was ten years. As treatment, the patient underwent lymph node dissection in the right and completion thyroidectomy for radioisotope treatment.
CONCLUSION
Needle tract implantation can occur after core needle biopsy. Further studies are needed to compare core-needle biopsy and fine-needle aspiration.
Core Tip: Local recurrence of papillary thyroid cancer can occur in the late period. Clinicians should pay attention to needle tract implantation related core needle biopsy.
