Primary Epithelioid Angiosarcoma of the Thyroid in a Patient Occupationally Exposed to Radiations
| العنوان: | Primary Epithelioid Angiosarcoma of the Thyroid in a Patient Occupationally Exposed to Radiations |
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| المؤلفون: | Luigi Corcione, Michela Marina, Enrico Maria Silini, Maria Francesca Serra, Teore Ferri, Graziano Ceresini |
| المصدر: | Frontiers in Endocrinology Frontiers in Endocrinology, Vol 9 (2018) |
| بيانات النشر: | Frontiers Media S.A., 2018. |
| سنة النشر: | 2018 |
| مصطلحات موضوعية: | medicine.medical_specialty, Goiter, Endocrinology, Diabetes and Metabolism, medicine.medical_treatment, Pathological staging, Neck mass, 030209 endocrinology & metabolism, Case Report, lcsh:Diseases of the endocrine glands. Clinical endocrinology, survival, thyroid, 03 medical and health sciences, 0302 clinical medicine, Endocrinology, medicine, Angiosarcoma, epithelioid, lcsh:RC648-665, angiosarcoma, business.industry, Thyroid disease, Thyroid, medicine.disease, Radiation therapy, radiation, medicine.anatomical_structure, 030220 oncology & carcinogenesis, Lymphadenectomy, Radiology, medicine.symptom, business |
| الوصف: | Background: Angiosarcoma (AS) of the thyroid is a rare and aggressive tumor. Its incidence is higher in iodine-deficient areas but cases unrelated to endemic goiter have been reported. Case Presentation: We describe a case of a 63-year-old Italian man living in a non-iodine-deficient area, with no previous diagnosis of thyroid disease with a history of radiation exposure. The patient-an interventional cardiologist who had worked for 15 years in an angiographic room- came to the clinical observation because of the rapid onset of dyspnea and dysphonia. Computed tomography (CT) showed a 13-cm inhomogeneous neck mass, originating from the left thyroid lobe which caused displacement and stenosis of the trachea. The patient underwent diagnostic fine-needle aspiration that was followed by total thyroidectomy and lymphadenectomy of central and left lateral cervical nodes. The final pathological diagnosis was epithelioid angiosarcoma (EAS), high grade. The preoperative staging by CT of the head, neck, abdomen, chest and pelvis was negative. At pathological staging, the tumor was angionvasive but it was limited to the thyroid; no lymphnode metastases were detected. Chemotherapy with Epirubicin and Ifosfamide was administered for 4 cycles and, then, it was discontinued due to significant bone marrow toxicity. Conclusion: One year after diagnosis, the CT of neck, abdomen, chest, and pelvis were negative. At 2 years after diagnosis, the FDG-PET was negative with no evidence of the disease at CT Due to the known association between the occurrence of angiosarcoma after radiation therapy it is tempting to speculate that in this patient the presence of thyroid EAS may be linked to radiation exposure.The patient is still alive at 62 months after diagnosis. He is on a follow-up program by a 6-month /1-year neck, chest, abdomen, and pelvis CT evaluation with no signs of metastases. |
| اللغة: | English |
| تدمد: | 1664-2392 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::7c2d4246db4020d770397160f559d11c http://europepmc.org/articles/PMC6174197 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....7c2d4246db4020d770397160f559d11c |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 16642392 |
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