Evidence map›Paper›PMID 38224445›Full record

ArticleEndocrine2024

Thyroid gland: a rare site of metastasis.

Ana María Orlandi, Graciela Alcaraz, Laila Bielski, Gabriela Brenta, Lorena Castro Jozami, Andrea Cavallo, Jorgelina Guerra, Santiago Zund, Thyroid Department of Sociedad Argentina de Endocrinología y Metabolismo

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Endocrine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Ana María OrlandiEndocrinology Department, Hospital Dr. T. Álvarez, Buenos Aires, Argentina. amorlandi68@gmail.com.ORCID 0000-0002-1824-7285
Graciela AlcarazEndocrinology Department, Hospital Dr. C. Durand, Buenos Aires, Argentina.ORCID 0009-0000-3077-4144
Laila BielskiEndocrinology Department, Sanatorio Güemes, Buenos Aires, Argentina.ORCID 0009-0000-8572-4021
Gabriela BrentaEndocrinology Department, Unidad Asistencial Dr. C. Milstein, Buenos Aires, Argentina.ORCID 0000-0001-5531-7652
Lorena Castro JozamiEndocrinology Department, Hospital Británico, Buenos Aires, Argentina.ORCID 0009-0005-3943-6738
Andrea CavalloEndocrinology Department Hospital Alta Complejidad, Formosa, Argentina.ORCID 0000-0003-0959-950X
Jorgelina GuerraEndocrinology Department Hospital Universitario Austral, Buenos Aires, Argentina.ORCID 0009-0009-9359-4365
Santiago ZundHead and Neck Surgery Department, Instituto de Oncología A. Roffo, Buenos Aires, Argentina.ORCID 0000-0001-6357-6136
Thyroid Department of Sociedad Argentina de Endocrinología y Metabolismo

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeDespite its rich vascularity, metastasis (MTS) to the thyroid tissue is unusual, ranging from 1 to 3%. This entity is not usually considered as differential diagnosis and is not included in the upfront approach in patients with thyroid nodules. Once diagnosed, treatment is controversial. The aim of this study was to evaluate diagnosis, treatment, and outcome at the end of follow-up in patients with a diagnosis of MTS to the thyroid.

methodsA retrospective multicenter study was designed from 1985 to 2022; 29 patients with MTS to the thyroid gland were included in the analysis.

resultsClinical presentation included the presence of a nodular goiter (65.5%), compression symptoms (17.2%), diffuse goiter (10.3%), and suspicious lymph nodes in the neck (7%). Primary tumor sites were: kidney (44.8%), breast (24.1%), lung (13.8%), neuroendocrine system (6.9%), colon (3.4%), cervix (3.4%), and ovary (3.4%). In 18/23 patients, suspicious ultrasound criteria for malignancy were described. Preoperative diagnosis was made in 23/27 patients by FNA and confirmed in 18 cases by immunohistochemistry. Seventeen patients underwent surgery. At the end of the follow-up, 19 patients had died of oncological disease, and six were alive (2/6 disease-free with isolated intrathyroidal MTS).

conclusionRenal carcinoma was the tumor that most frequently metastasized to the thyroid gland. Immunodiagnosis was a very useful tool for etiological confirmation. Patients with MTS to the thyroid gland as a unique site had a more favorable course compared to patients with multiple metastatic sites. Finally, outcomes and prognosis essentially depended on the biology of the primary tumor.

Indexed as

Thyroid NeoplasmsAdultAgedAged, 80 and overFemaleHumansKidney NeoplasmsMaleMiddle AgedRetrospective StudiesThyroid GlandBiopsyMalignant tumorMetastasisThyroid glandUltrasound

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.