Evidence map›Paper›PMID 40800658›Full record

ArticleJournal of surgical case reports2025

Medullary thyroid cancer arising from a thyroid rest: a case report.

Jacob Beiriger, Hilary C McCrary, Patrick Carpenter, Benjamin L Witt, Devaprabu Abraham, Marcus M Monroe

Abstract readCase Reports
In one paragraph

Article in Journal of surgical case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. Thyroid Collision Carcinoma: A Case Report.Iranian journal of pathology · 2026
    Article
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

6 authors.

Jacob BeirigerDepartment of Otolaryngology - Head and Neck Surgery, University of Utah School of Medicine, 30 N. Mario Capecchi Drive, 4th Floor, Salt Lake City, UT 84112, United States.ORCID https://orcid.org/0000-0001-8552-787X
Hilary C McCraryDepartment of Otolaryngology - Head and Neck Surgery, University of Utah School of Medicine, 30 N. Mario Capecchi Drive, 4th Floor, Salt Lake City, UT 84112, United States.
Patrick CarpenterDepartment of Otolaryngology - Head and Neck Surgery, University of Utah School of Medicine, 30 N. Mario Capecchi Drive, 4th Floor, Salt Lake City, UT 84112, United States.
Benjamin L WittDepartment of Pathology, University of Utah School of Medicine, 15 North Medical Drive East, Ste. #1100, Salt Lake City, UT 84112, United States.
Devaprabu AbrahamDepartment of Internal Medicine, Division of Endocrinology, University of Utah School of Medicine, 30 North Mario Capecchi Dr, 3rd Floor North, Salt Lake City, UT 84112, United States.
Marcus M MonroeDepartment of Otolaryngology - Head and Neck Surgery, University of Utah School of Medicine, 30 N. Mario Capecchi Drive, 4th Floor, Salt Lake City, UT 84112, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Medullary thyroid carcinoma (MTC) is rare and originates from parafollicular C cells and most cases present with a primary thyroid lesion. This report describes a 67-year-old woman with a left-sided neck mass and no evidence of intrathyroidal disease. Positron emission tomography-computed tomography (PET-CT) revealed paratracheal lymphadenopathy; other imaging and TSH were unremarkable. Fine-needle aspiration was inconclusive, and excisional biopsy suggested high-grade metastatic neuroendocrine carcinoma, initially suspected to be pulmonary due to thyroid transcription factor-1 (TTF-1) positivity. Pathology review raised concern for MTC. Endocrine evaluation showed elevated calcitonin (25.4 pg/ml) and carcinoembryonic antigen (CEA) (20.1 ng/ml). She denied personal or family history of thyroid disease or multiple endocrine neoplasia syndromes. Total thyroidectomy with central neck dissection was performed. All thyroid sections stained negative for calcitonin, excluding C cell hyperplasia or intrathyroidal MTC. Lymph node morphology and immunoprofile supported metastatic MTC arising from a thyroid rest. This is a rare entity, with only two other cases documented in the literature.

Indexed as

medullary thyroid carcinomaneuroendocrine tumorsthyroid rest

Identifiers

PMID40800658
PMCPMC12342817

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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.