ABSTRACT
Within this case report, I present a 59 years old male patient presented with a 10 year history of anterior neck and chest mass. FNAC showed the lesion is follicular thyroid neoplasm in origin. CT Neck and Thorax locally advanced malignancy of upper chest wall infiltrating the sternum and upper ribs. The patient was managed by multidisciplinary team (MDT) and subjected to total thyroidectomy, sternectomy and rib resection with Anterolateral Thigh Fasciocutaneous flap reconstruction. This case is a reminder that surgery is still the primary treatment of choice in these cases and subsequently followed by radioiodine ablation (RAI) with close monitoring of disease progression post-operatively. MDT involvement and surgery planning earlier proven to benefit patient especially in this case where Superior Thyroid Artery and Vein preserved by Endocrine Surgeons as the anastomosis recipient for Anterolateral Thigh Fasciocutaneous flap.
Manuscripts that are Published Ahead of Print have been peer reviewed and accepted for publication by the Editorial Board of the West Indian Medical Journal. They may appear in their original format and may not be copy edited or formatted in the style guide of this Journal. While accepted manuscripts are not yet assigned a volume, issue or page numbers, they can be cited using the DOI and date of e-publication. See our Instructions for Authors on how to properly cite manuscripts at this stage. The contents of the manuscript may change before it is published in its final form. Manuscripts in this section will be removed once they have been issued to a volume and issue, but will still retain the DOI and date of e-publication.
Our 7 faculties and 12 professional schools offer more than 200 programmes to some 18,000 graduate, undergraduate and continuing studies students.
The UWI, Mona ranks first in Jamaica among accredited tertiary-level programmes. In 2012, the University was again one of Jamaica’s Top 100 Employers.
