Razuan Nur Aida, Baghawi Anita, Mohd Tamrin Mohd Islahuddin, Raja Gopal Navarasi, Saniasiaya Jeyasakthy
Department of Otorhinolaryngology, Faculty of Medicine, Universiti Malaya Jalan Universiti, Kuala Lumpur, 50603 Malaysia.
Department of General Surgery, Hospital Putrajaya, Wilayah Persekutuan Putrajaya, Putrajaya, Malaysia.
Indian J Otolaryngol Head Neck Surg. 2024 Dec;76(6):6046-6050. doi: 10.1007/s12070-024-05080-1. Epub 2024 Sep 21.
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.
间变性甲状腺癌（ATC）被认为是甲状腺恶性肿瘤中最罕见的形式，约占甲状腺恶性肿瘤的2%。传统上，它表现为前颈部迅速肿大并伴有阻塞症状。由于甲状腺血供丰富且淋巴引流丰富，故对感染有抵抗力。与此平行的是，甲状腺脓肿的表现常常提示潜在的上呼吸道感染。我们报告一例老年女性患者，最初表现为甲状腺脓肿，经甲状腺组织病理学诊断后发现是ATC。最初的细胞学检查结果为恶性阴性。我们强调了这种相对不常见的表现及其处理方法。
