LETTER TO EDITOR
Queries regarding “Anaplastic Thyroid Carcinoma: Spot Diagnosis”
1Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, Bilaspur, Himachal Pradesh, India
2Department of Forensic Medicine, All India Institute of Medical Sciences, Bilaspur, Himachal Pradesh, India
3Department of Surgical Oncology, All India Institute of Medical Sciences, Bilaspur, Himachal Pradesh, India
Corresponding Author: Manisha Kumari, Department of Surgical Oncology, All India Institute of Medical Sciences, Bilaspur, Himachal Pradesh, India, Phone: +91 9992525807, e-mail: firstname.lastname@example.org
How to cite this article: Chauhan C, Sharma N, Kumari M. Queries regarding “Anaplastic Thyroid Carcinoma: Spot Diagnosis”. Indian J Endoc Surg Res 2022;17(2):72.
Source of support: Nil
Conflict of interest: None
Received on: 15 June 2022; Accepted on: 22 October 2022; Published on: 30 December 2022
Anaplastic thyroid cancer (ATC) is one of the most aggressive solid organ cancers with high mortality. Even after so much progress in chemotherapy, radiotherapy, and surgical techniques, we lose almost all patients within 2 years of diagnosis. The very low threshold for suspecting ATC and Prompt diagnosis are crucial factors in the management of ATC.
Keywords: Anaplastic thyroid carcinoma, Endocrine cancer, Pemberton maneuver.
We had the opportunity to read your article “Anaplastic Thyroid Carcinoma: Spot Diagnosis.”1,2 At the outset, we congratulate the author for highlighting the importance of time in the management of ATC. We have some queries to ask.
The authors mentioned that the patient had difficulty in breathing, hoarseness of voice, and there were prominent veins over the anterior chest wall. The authors also mentioned that the mass was extending into the thoracic inlet and therefore thoracic outlet obstruction is likely to be present in this case. Whenever there is a suspicion of thoracic outlet obstruction, one should check for Pemberton’s sign. So we want to ask what were the findings of the Pemberton’s sign if it was elicited.3
The authors also mentioned that there was a deviation of the trachea to the left and there may be an underlying tracheal obstruction in this case. Tracheal obstruction is the most common cause of death in these types of patients.4 Whether the authors checked for Kocher’s test, and what were the findings?
We can understand that in a government set up patients have to face a long waiting for computed tomography (CT) scan and magnetic resonance imaging (MRI). The CT scan and MRI are very useful tools for staging the ATC5,6 However, ultrasonography (USG) can be done quickly if there is urgency. We want to know the experience of authors in predicting ATC on USG.
Compal Chauhan https://orcid.org/0000-0002-0691-4765
Nitisha Sharma https://orcid.org/0000-0003-2476-3187
Manisha Kumari https://orcid.org/0000-0002-7218-4190
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