Iranian Journal of Otorhinolaryngology (Mar 2020)

Giant Thyroid Fibrosarcoma- A Case Report

  • Manuel Tucciarone,
  • Carlos Heredia-Llinas,
  • Alejandro Lowy Benoliel,
  • Rosalia Souviron Encabo,
  • Tomas Martinez Guirado,
  • Ricardo González-Orus Álvarez-Morujo

DOI
https://doi.org/10.22038/ijorl.2019.39741.2310
Journal volume & issue
Vol. 32, no. 2
pp. 109 – 112

Abstract

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Introduction: Thyroid gland fibrosarcomas are extremely rare tumors, and only very few cases have been described in the literature. There are no set recommendations along with follow-ups regarding the treatment of these tumors. Moreover, the prognosis is poor with a very short life expectancy. Case Report: We present an 81-year-old patient who was suffering from increasing dysphagia and dysphonia related to a painless giant cervical mass, which presented with progressive growth for the preceding months. After a core needle biopsy with a suspicion of a solitary fibrous tumor, total excision of the tumor was successfully performed, and the pathology examination revealed a fibrosarcoma. Following surgery, radiotherapy was decided in the oncological multidisciplinary meeting; however, the patient refused it. There were neither new clinical symptoms nor tumor recurrence after an 18-month follow-up. Conclusion: Although it is a very rare tumor, primary fibrosarcoma of the thyroid gland should be kept in mind in the differential diagnosis of neck tumors.

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