Cha W, Kong IG, Kim H, Hah JH, Sung MW. Desmoid tumor arising from omohyoid muscle: The first report for unusual complication after transaxillary robotic thyroidectomy.
Head Neck 2014;
36:E48-51. [PMID:
24115367 DOI:
10.1002/hed.23518]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2013] [Revised: 09/12/2013] [Accepted: 09/12/2013] [Indexed: 11/08/2022] Open
Abstract
BACKGROUND
Transaxillary robotic (TAR) thyroidectomy has been performed for better aesthetic results by many surgeons. In this report, we describe a rare case of a desmoid tumor developed after TAR thyroidectomy, which is speculated to be a late-term complication.
METHODS AND RESULTS
A 61-year-old woman with a history of papillary microcarcinoma had experienced a large left neck mass that had grown over 2 years. The patient underwent TAR thyroidectomy (right lobectomy and isthmectomy) via the right axilla almost 2.5 years previously. Physical examination revealed a 6-cm, firm mass fixed to the left anterior neck. The mass was fixed to the omohyoid muscle. The 5.9- × 4.7- × 4.5-cm tumor with the surrounding muscles was excised in an en bloc fashion. Pathologic examination confirmed the diagnosis of a desmoid tumor.
CONCLUSION
This case suggests that desmoid tumors could develop late after TAR thyroidectomy. Thus, careful observation of the surgical wound may be necessary after TAR thyroidectomy.
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