Metastatic Papillary Thyroid Carcinoma in the Hand

Summary:. Papillary thyroid carcinoma is the most common thyroid cancer, and metastases can be seen in up to 10% of patients at initial presentation. Metastasis of tumors to the hand is rare. This report describes a patient with painful right thenar and hypothenar masses that were confirmed as metas...

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Main Authors: Christine S.W. Best, MD, Wenhui Liu, MD, PhD, Tao Huang, BM, PhD, Kevin C. Chung, MD, MS
Format: Article
Language:English
Published: Wolters Kluwer 2025-07-01
Series:Plastic and Reconstructive Surgery, Global Open
Online Access:http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006926
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author Christine S.W. Best, MD
Wenhui Liu, MD, PhD
Tao Huang, BM, PhD
Kevin C. Chung, MD, MS
author_facet Christine S.W. Best, MD
Wenhui Liu, MD, PhD
Tao Huang, BM, PhD
Kevin C. Chung, MD, MS
author_sort Christine S.W. Best, MD
collection DOAJ
description Summary:. Papillary thyroid carcinoma is the most common thyroid cancer, and metastases can be seen in up to 10% of patients at initial presentation. Metastasis of tumors to the hand is rare. This report describes a patient with painful right thenar and hypothenar masses that were confirmed as metastatic papillary thyroid carcinoma after narrow excision. Intraoperatively, the soft tissue masses did not invade the surrounding musculature or neurovascular bundles. There was improved hand pain and no neurovascular deficits postoperatively. Close monitoring with physical examination without additional radiation was recommended by the multidisciplinary endocrine oncology tumor board. This case highlighted the importance of maintaining suspicion for malignant metastasis in hand masses when there is a history of thyroid carcinoma.
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publishDate 2025-07-01
publisher Wolters Kluwer
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series Plastic and Reconstructive Surgery, Global Open
spelling doaj-art-c6b0bb0c5a634762b0622e323b8a35b12025-08-20T03:13:41ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742025-07-01137e692610.1097/GOX.0000000000006926202507000-00004Metastatic Papillary Thyroid Carcinoma in the HandChristine S.W. Best, MD0Wenhui Liu, MD, PhD1Tao Huang, BM, PhD2Kevin C. Chung, MD, MS3From the * Section of Plastic Surgery, Department of Surgery, Michigan Medicine, Ann Arbor, MI† Department of Surgery, First Affiliated Hospital, Zhengzhou University, Zhengzhou, China‡ Department of Pathology, Michigan Medicine, Ann Arbor, MI.From the * Section of Plastic Surgery, Department of Surgery, Michigan Medicine, Ann Arbor, MISummary:. Papillary thyroid carcinoma is the most common thyroid cancer, and metastases can be seen in up to 10% of patients at initial presentation. Metastasis of tumors to the hand is rare. This report describes a patient with painful right thenar and hypothenar masses that were confirmed as metastatic papillary thyroid carcinoma after narrow excision. Intraoperatively, the soft tissue masses did not invade the surrounding musculature or neurovascular bundles. There was improved hand pain and no neurovascular deficits postoperatively. Close monitoring with physical examination without additional radiation was recommended by the multidisciplinary endocrine oncology tumor board. This case highlighted the importance of maintaining suspicion for malignant metastasis in hand masses when there is a history of thyroid carcinoma.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006926
spellingShingle Christine S.W. Best, MD
Wenhui Liu, MD, PhD
Tao Huang, BM, PhD
Kevin C. Chung, MD, MS
Metastatic Papillary Thyroid Carcinoma in the Hand
Plastic and Reconstructive Surgery, Global Open
title Metastatic Papillary Thyroid Carcinoma in the Hand
title_full Metastatic Papillary Thyroid Carcinoma in the Hand
title_fullStr Metastatic Papillary Thyroid Carcinoma in the Hand
title_full_unstemmed Metastatic Papillary Thyroid Carcinoma in the Hand
title_short Metastatic Papillary Thyroid Carcinoma in the Hand
title_sort metastatic papillary thyroid carcinoma in the hand
url http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006926
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