Spindle and giant cell carcinoma of the thyroid: report of a five-year survival after lobectomy and postoperative irradiation.

We have described a patient who remains alive and well five years after lobectomy and planned postoperative irradiation for a sizable spindle and giant cell carcinoma arising in the right thyroid lobe which was adherent to the trachea and the esophagus. The dismal experience of others with this highly lethal tumor has been reviewed. A trial of surgical resection and full-dose postoperative teletherapy seems warranted in selected patients who have a resectable tumor.