Journal Basic Info

  • Impact Factor: 1.995**
  • H-Index: 8
  • ISSN: 2474-1647
  • DOI: 10.25107/2474-1647
**Impact Factor calculated based on Google Scholar Citations. Please contact us for any more details.

Major Scope

  •  Transplant Surgery
  •  Robotic Surgery
  •  Orthopaedic Surgery
  •  Breast Surgery
  •  Gastroenterological Surgery
  •  Plastic Surgery
  •  Vascular Surgery
  •  Oral and Maxillofacial Surgery

Abstract

Citation: Clin Surg. 2017;2(1):1316.Case Report | Open Access

Giant Anaplastic Thyroid Carcinoma Arising in a Neglected Goiter: A Case Report

Orhan Veli Ozkan, Orhan Yagmurkaya, Omer Yalkin, Fehmi Celebi, Yasemin Gunduz, Zeynep Kahyaoglu, Ismail Zengin and Fatih Altintoprak

Department of General Surgery, Sakarya University, Turkey
Department of Radiology, Sakarya University, Turkey
Department of Pathology, Sakarya University, Turkey

*Correspondance to: Orhan Veli Ozkan 

 PDF  Full Text DOI: 10.25107/2474-1647.1316

Abstract

Introduction: Diffusely enlarged giant thyroid glands are becoming increasingly infrequent. However, in some geographical areas they are still relatively common. Anaplastic thyroid carcinoma is rare but is an aggressive and lethal malignancy. Since it is associated with severe complications, surgical treatment of giant goiter requires a high level of expertise.Material and
Methods: Herein, a case of giant goiter in a 71-year-old female patient, diagnosed 40 years ago and gradually progressed in size has been presented. Although she was informed about the biopsy and consequent surgery indication years ago, she refused to undergo any surgical intervention. She was suffering of a huge neck swelling with a sense of tightness and heaviness that interferred with her neck movements. Computed tomography imaging studies revealed a giant goiter deviating the trachea to the right and lymphadenopaties appearing as metastatic lesions in lungs and mediastinum respectively.Result: Total thyroidectomy was performed. The surgical specimen weighed 2.5 kg, had a right lobe 8.5 x 5 x 3.5 cm in size and a left lobe 18.5 x 17.5 x 10 cm in size. The pathological examination reported the specimen as anaplastic thyroid carcinoma.Conclusion: Thyroid diseases associated with goiter should be surgically treated without a delay since those cases could be complicated with malignant transformation in the gland and considerably increased surgical complication rates due to advanced age and increased size of goiter.

Keywords

Giant goiter; Delayed surgical treatment; Malignant transformation

Cite the article

Ozkan OV, Yagmurkaya O, Yalkin O, Celebi F, Gunduz Y, Kahyaoglu Z, et al. Giant Anaplastic Thyroid Carcinoma Arising in a Neglected Goiter: A Case Report. Clin Surg. 2017; 2: 1316.

Search Our Journal

Journal Indexed In

Articles in PubMed

Monitoring an Ongoing Enhanced Recovery after Surgery (ERAS) Program: Adherence Improves Clinical Outcomes in a Comparison of Three Thousand Colorectal Cases
 PubMed  PMC  PDF  Full Text
Antimicrobial Peptides: A Potential Therapeutic Option for Surgical Site Infections
 PubMed  PMC  PDF  Full Text
View More...

Articles with Grants

Os Odontoideum as a Cause of Cervical Cord Injury in a Patient with Refractory Epilepsy
 Abstract  PDF  Full Text
Right Pelvis Wall Encapsulated Fat Necrosis Mimics Malignancy Change: A Case Report
 Abstract  PDF  Full Text
View More...