https://scholars.lib.ntu.edu.tw/handle/123456789/473891
標題: | Secondary infection and ischemic necrosis after fine needle aspiration for a painful papillary thyroid carcinoma: A case report | 作者: | Chen H.-W. FEN-YU TSENG Su D.-H. YIH-LEONG CHANG TIEN-CHUN CHANG |
公開日期: | 2006 | 出版社: | S. Karger AG | 卷: | 50 | 期: | 2 | 起(迄)頁: | 217-220 | 來源出版物: | Acta Cytologica | 摘要: | Background: Papillary thyroid carcinoma (PTC) is often asymptomatic and rarely presents as a painful goiter. Further, the thyroid gland is not easily infected. Therefore, acute suppurative thyroiditis (AST) is unusual. PTC is also seldom combined with AST. We report a case of painful PTC with secondary infection after fine needle aspiration (FNA). Case: A 19-year-old girl complained of a painful goiter without skin change after an episode of upper airway infection. PTC was diagnosed according to the FNA cytology (FNAC) at another hospital. The goiter became more painful after FNA. The patient's second FNAC at our hospital revealed only many polymorphonuclear leukocytes (PMNs). Antibiotic treatment ameliorated the pain, but the goiter persisted. The third FNAC revealed same PMNs and papillary carcinomatous cells. After total thyroidectomy, pathology revealed ischemic necrosis with a focal PMN aggregation around the needle track and papillary carcinomatous cells nearby. According to the time sequence, secondary infection after FNA was suspected. Conclusion: A painful goiter is an unusual presentation of PTC. Although FNAC is feasible for studying a thyroid lesion, malignant cells might be missed when secondary infection and ischemic necrosis occur after FNA. Therefore, aseptic procedures are necessary to prevent bacteria from seeding into the thyroid. ? The International Academy of Cytology. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-33645468322&doi=10.1159%2f000325936&partnerID=40&md5=24459e8b49df1fdb0ba4890cc857f78f https://scholars.lib.ntu.edu.tw/handle/123456789/473891 |
ISSN: | 0001-5547 | DOI: | 10.1159/000325936 | SDG/關鍵字: | adult; article; aspiration cytology; cancer cytodiagnosis; case report; female; goiter; human; human cell; pain; priority journal; superinfection; thyroid carcinoma; thyroid gland; thyroid papillary carcinoma; thyroidectomy |
顯示於: | 病理學科所 |
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