ABSTRACT
Ultrasound guided fine needle aspiration (FNA) of thyroid nodules is a very common procedure. Its diagnostic adequacy rate is approximately 70%. The adequacy rate for core needle biopsy (CNB) is approximately 80%, so that it was significantly higher than that of FNA. CNB is clinically useful in selected patients when a prior FNA reading is nondiagnostic. Complications from FNA and CNB are rare. We report on two cases of a hematoma of the neck caused by thyroid CNB with a review of literature.
Subject(s)
Humans , Biopsy , Biopsy, Fine-Needle , Biopsy, Large-Core Needle , Hematoma , Neck , Needles , Thyroid Gland , Thyroid Nodule , UltrasonographyABSTRACT
Differentiated thyroid cancers are rarely associated with distant metastases and have 10-year survival rates higher than 80%; however, the prognosis deteriorates significantly if metastasis occurs. Bone is the second most common site of metastasis after the lungs in cases of thyroid cancer. Here we describe a case in which a 57-year-old female patient had extremely severe pain on the posterior neck. After magnetic resonance imaging, 18F-FDG PET CT and ultrasonography guided biopsy, right papillary thyroid carcinoma with cervical spine metastasis was suspected; therefore, she underwent surgery for removal of thyroid carcinoma and seventh cervical spine metastasis. Pathologic diagnosis was confirmed as left thyroid follicular carcinoma with seventh cervical spine metastasis and synchronous right thyroid papillary carcinoma. The patient then underwent an additional spinal tumor removal operation, I131 treatment and external radiation therapy. Complete removal of the cervical spine tumor could not be achieved due to intra-operative bleeding and the need to prevent damage to the spinal cord. Following treatment, the patient reported great relief from severe neck pain. This is a rare presentation of follicular thyroid carcinoma with cervical spine metastasis in Korea.
Subject(s)
Female , Humans , Middle Aged , Adenocarcinoma, Follicular , Biopsy , Carcinoma, Papillary , Diagnosis , Fluorodeoxyglucose F18 , Hemorrhage , Korea , Lung , Magnetic Resonance Imaging , Neck , Neck Pain , Neoplasm Metastasis , Prognosis , Spinal Cord , Spine , Survival Rate , Thyroid Gland , Thyroid Neoplasms , UltrasonographyABSTRACT
Data from a survey of 200 Billings Ovulation Method acceptors in Korea were used to describe a profile of these natural family planning acceptors, and to calculate use effectiveness rates for twelve months of use among women using the method for avoiding an unplanned pregnancy. The majority of acceptors were women of proven fertility who wanted to limit their family size, and many of them (79%) had previously used a family planning method. Fifty-six percent were Catholics, and those study subjects were above middle income group by Korean annual household income estimates. The mean number of living children the NFP acceptors had was 2.3 +/- 1.4 and the number of children they desired to have was 2.4 +/- 1.4. The cumulative life table rate for unplanned pregnancies at the end of 12 months of use was 7 (+/- 2.5 S.E.) per 100 women, and women ever attending the learning sessions as couples experienced relatively less unplanned pregnancies compared to those women attending the sessions alone.