{Reference Type}: Case Reports
{Title}: Subcutaneous implantation of nodular goiter after transoral endoscopic thyroidectomy vestibular approach: A case study and review of literature.
{Author}: Weng YJ;Kwan KJS;Chen DB;Hu BL;Jiang J;Min L;Ai Q;Chen WC;Huang ZH;
{Journal}: Head Neck
{Volume}: 46
{Issue}: 6
{Year}: 2024 06 12
{Factor}: 3.821
{DOI}: 10.1002/hed.27732
{Abstract}: Extrathyroid implantation or dissemination of thyroid tissue secondary to a thyroid procedure is rare. Most of these belonged to thyroid carcinoma with metastatic potential and uncommon for benign pathologies.<BR>We report the case of a 31-year-old female who was identified to have multiple subcutaneous implantation of thyroid tissue 5 years after transoral endoscopic thyroidectomy vestibular approach. A comprehensive literature search on implantation of thyroid tissue secondary to thyroid procedures was performed.<BR>Accidental tearing of the capsule during previous surgery may lead to the subcutaneous implantation. Through literature review, a total 29 articles with 47 patients were identified. 33.3% were benign lesions, and implantation was mostly secondary to fine needle aspiration biopsy (46.5%).<BR>Subcutaneous or port site implantation after endoscopic thyroid surgery may occur in benign thyroid pathologies and therefore, oncologic principles must be strictly followed during surgery regardless of its histopathological nature.