Iranian Journal of Otorhinolaryngology

Iranian Journal of Otorhinolaryngology

Giant Thyroid Fibrosarcoma- A Case Report

Document Type : Case Report

Authors
Manuel Tucciarone
Carlos Heredia-Llinas
Alejandro Lowy Benoliel
Rosalia Souviron Encabo
Tomas Martinez Guirado
Ricardo González-Orus Álvarez-Morujo
Department of Otorhinolaryngology, Gregorio Marañón Hospital, Madrid, SPAIN.
10.22038/ijorl.2019.39741.2310
Abstract
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.
Keywords
Fibrosarcoma
Head and Neck
Head and Neck Cancer
Neoplasm
Thyroid cancer
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Iranian Journal of Otorhinolaryngology
Volume 32, Issue 2
March and April 2020
Pages 109-112