Anaplastic Thyroid Carcinoma: The Great Masquerader

Anaplastic thyroid carcinoma (ATC) has been regarded as the rarest form of thyroid malignancy, which entails around 2% of thyroid malignancies. It traditionally presents with rapidly enlarging anterior neck swelling with obstructive symptoms. Due to its rich blood supply and lymphatic drainage, the...

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Bibliographic Details
Published in:Indian journal of otolaryngology, and head, and neck surgery and head, and neck surgery, 2024-12, Vol.76 (6), p.6046-6050
Main Authors: Razuan, Nur Aida, Baghawi, Anita, Mohd Tamrin, Mohd Islahuddin, Raja Gopal, Navarasi, Saniasiaya, Jeyasakthy
Format: Article
Language:English
Subjects:
Clinical Report
Head and Neck Surgery
Medicine
Medicine & Public Health
Otorhinolaryngology
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Summary:Anaplastic thyroid carcinoma (ATC) has been regarded as the rarest form of thyroid malignancy, which entails around 2% of thyroid malignancies. It traditionally presents with rapidly enlarging anterior neck swelling with obstructive symptoms. Due to its rich blood supply and lymphatic drainage, the thyroid gland is resistant to infection. Parallel to that, the presentation of thyroid abscess frequently points towards an underlying upper respiratory tract infection. We present a case involving an elderly female presenting with a thyroid abscess, which later turned out to be ATC following a histopathological diagnosis of the thyroid gland. The initial cytology workout was negative for malignancy. We highlight the relatively uncommon presentation along with its management.
ISSN:2231-3796
0973-7707
DOI:10.1007/s12070-024-05080-1