E Chabrillac1, S Zerdoud2, S Fontaine3, J Sarini4. 1. Département de chirurgie, Institut Universitaire du Cancer Toulouse - Oncopôle, 1, avenue Irène Joliot-Curie, 31059 Toulouse, France. Electronic address: emilien.chabrillac@gmail.com. 2. Département de médecine nucléaire, Institut Universitaire du Cancer Toulouse - Oncopôle, 1, avenue Irène Joliot-Curie, 31059 Toulouse, France. 3. Centre Toulouse thyroïde, clinique Rive-Gauche, 49, allées Charles-de-Fitte, 31300 Toulouse, France. 4. Département de chirurgie, Institut Universitaire du Cancer Toulouse - Oncopôle, 1, avenue Irène Joliot-Curie, 31059 Toulouse, France.
Abstract
INTRODUCTION: Robotic thyroidectomy (RT) has been reported to achieve satisfactory results. However, its long-term oncological results have not been validated. The use of RT to treat thyroid cancer comprises specific risks that are not encountered with open thyroidectomy (OT). CASE SUMMARY: We report the case of a patient operated by two-stage RT for stage pT3a follicular carcinoma, followed by tumour seeding along the incision despite adjuvant Iodine-131 therapy and external beam radiotherapy. DISCUSSION: This case illustrates the limitations and insufficient perspective of RT for thyroid cancer, with the recent discovery of a risk of tumour seeding along the incision. Rigorous patient selection should help to avoid this risk of tumour seeding.
INTRODUCTION: Robotic thyroidectomy (RT) has been reported to achieve satisfactory results. However, its long-term oncological results have not been validated. The use of RT to treat thyroid cancer comprises specific risks that are not encountered with open thyroidectomy (OT). CASE SUMMARY: We report the case of a patient operated by two-stage RT for stage pT3a follicular carcinoma, followed by tumour seeding along the incision despite adjuvant Iodine-131 therapy and external beam radiotherapy. DISCUSSION: This case illustrates the limitations and insufficient perspective of RT for thyroid cancer, with the recent discovery of a risk of tumour seeding along the incision. Rigorous patient selection should help to avoid this risk of tumour seeding.