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Case Reports in Oncological Medicine
Volume 2013 (2013), Article ID 148973, 3 pages
http://dx.doi.org/10.1155/2013/148973
Case Report

Neglected Papillary Thyroid Carcinoma Seven Years after Initial Diagnosis

1Second Department of Propedeutic Surgery, Laiko General Hospital, University of Athens, Medical School, 11527 Athens, Greece
2Department of Radiology, Laiko General Hospital, 11527 Athens, Greece

Received 10 November 2012; Accepted 25 December 2012

Academic Editors: L. J. Layfield, R. Palmirotta, K. Tanaka, and D. Yin

Copyright © 2013 Eleftherios D. Spartalis et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Papillary thyroid carcinoma (PTC) is the most common epithelial thyroid tumor, accounting for more than 80% of all thyroid tumors. Recent advances in ultrasonographic screening and US-guided fine-needle aspiration biopsy (FNAB) have facilitated the early detection and diagnosis of papillary thyroid carcinomas. In exceptionally rare cases, papillary thyroid tumors may assume enormous dimensions due to recurrent disease or the patient's negligence of the problem. We report an extremely rare case of a 72-year-old woman presented with a neglected giant exophytic papillary thyroid carcinoma with hemorrhagic ulcers. Computed tomography showed a mass measured  cm that caused a displacement of the trachea to the right side and reached the mediastinum. After bleeding management, patient was discharged. The patient was fully aware of her situation, but she denied any further therapeutic management.