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Abstract According to Ewing,1 the occurrence of true sarcoma of the thyroid gland still requires demonstration, and in a review of the literature it is quite evident that tumors of the thyroid have been classified as sarcoma merely because of the presence of spindle cells or round cells without the application of any more accurate criteria of diagnosis. Since the age of incidence, clinical course, gross anatomic appearance and mode of extension are quite similar in carcinoma and sarcoma of the thyroid, only the histologic distinctions between the two remain. Confusion in microscopic diagnosis frequently occurs owing to the fact that.it has not been fully appreciated that the cells of a carcinoma of rapidly proliferating type assume an undifferentiated form superficially resembling in morphology the cells of a fibrosarcoma or lymphosarcoma; unless the arrangement of the cells is carefully studied in various parts of the tumor and special staining methods References 1. Ewing, J.: Neoplastic Diseases , Ed. 2, Philadelphia, W. B. Saunders Company, 1922. 2. Kaufmann: Die Struma maligna , Deutsch. Ztschr. f. Chir. 11:400, 1879.Crossref 3. Ehrhardt, O.: Zur Anatomie und Klinik der Struma maligna , Beitr. z. klin. Chir. 35:343, 1902. 4. Müller, G. P., and Speese, J.: Malignant Disease of the Thyroid Gland , Univ. Penn. M. Bull. 19:74, 1906-1907. 5. Wilson, L. B.: Malignant Tumors of the Thyroid , Ann. Surg. 74:129 ( (Aug.) ) 1921.Crossref 6. Berry, J.: Diseases of the Thyroid , London, 1901. 7. Botella, E.: Fibro-sarcome de l'Isthme et du Lobule droit de la Gland thyroide , Arch. internat. de laryngol. 20:91, 1905. 8. Chifoliau and Masson: Epithélio-sarcome du Corps thyroide , Bull. et mém. Soc. anat. de Paris 84:357, 1909. 9. Cumston, C. G.: Sarcoma of the Thyroid Gland , Phila. Month. M. J. , 1899, p. 277. 10. Doléris, A.: Sarcome primitif du Corps thyroide , Bull. Soc. anat. de Paris 51:225, 1876. 11. Gatti, G.: Rapide Développement d'un Sarcome de la Thyroide , Rev. de chir. 15:618, 1895. 12. Goris: Sarcome thyroidien , J. de chir. et ann. Soc. belge de chir. 8:370, 1908. 13. Heath: Spindle Celled Sarcoma of the Thyroid, Involving Larynx, Secondary Deposits, Death , M. Times & Gaz. 2:663, 1879. 14. Klunzinger: Carcinom und Sarkom in einer Schilddrüse , Zentralbl. f. allg Path. u. path. Anat. 24:967, 1913. 15. Kobler, G. V.: Sarkom der Schilddrüse mit multiplen Hirnhämorrhagien , Wien. med. Wchnschr. 36:295; 344, 1886. 16. Kreglinger: Zur Kenntnis der primaren Sarkome der Schilddrüse mit seltenen Metastasen , Arch. f. klin. Chir. 111:545. 1919. 17. Moore, N: Primary New Growth in Thyroid , Tr. London Path. Soc. 37:513, 1886. 18. Nadal, P.: Sarcome à myeloplaxes du Corps thyroides , Bull. et mém. Soc. anat. de Paris 85:736, 1910. 19. Papin and Saboréanu: Sarcome du Corps thyroide , Bull. et mém. de la Soc. anat. de Paris 79:533, 1904. 20. Porter, M. F.: Coexisting Infection and Sarcoma of the Thyroid , Ann. Surg. 57:501, 1913. 21. Shattuck, S. G.: Hypertrophy of an Accessory Thyroid in a Case of Spindle Celled Sarcome of the Thyroid , Tr. Path. Soc. London 39:339, 1888. 22. Simpson, B. T.: Pathology of Goiter Based upon Specimens Received at the State Institution for the Study of Malignant Disease, Buffalo , N. Y., Surg., Gynec. & Obst. 28:153 ( (Feb.) ) 1919. 23. Van der Veer, E. A.: Report of a Case of Sarcoma of the Thyroid , Ann. Surg. 46:829, 1907. 24. Jones, S., and Battle, W. H.: Sarcoma of the Thyroid Gland , St. Thomas' Hosp. Rep. 18:233, 1888. 25. Braun, H.: Beiträge zur Kenntnis der Struma Maligna , Arch. f. klin. Chir. 28:291, 1882. 26. Basal, L., and Rigaud: Sur un cas d'épithélio-sarcome du corps thyroide , Arch. de méd. expér. et d'anat. path. 25:491, 1913. 27. Binnie, J. F.: Malignant Neoplasms of the Thyroid with Metastases in the Intestine and in Bone , Surg., Gynec. & Obst. 26:288 ( (March) ) 1918. 28. Bowlby, A. A.: Infiltrating Fibroma (Sarcoma?) of the Thyroid Gland , Tr. Path. Soc. London 36:420, 1885. 29. Förster: Ueber die Geschwülste der Schilddrüse , Würzb. med Ztschr. 1:24, 1860. 30. Herrenschmidt, A.: Sarcome massif du corps thyroid avec noyan épithéliomateux ceexistant et particulaité de structure de sarcome , Bull. et mém. Soc. anat. de Paris 82:300, 1907. 31. Kummer, E.: Sarco-adénome du corps thyroide , Rev. méd. de la Suisse Rom. 18:702, 1898. 32. Lartigau, A. J.: Primary Sarcoma of the Thyroid Gland , Am. J. M. Sc. 122:156, 1901. 33. Limacher, E.: Ueber Blutgefässendotheliome der Struma , Virchows Arch. f. path. Anat. 151:113, 1898. 34. Reverdin, J. L., and Buscarlet, F.: Goître néoplasique suffocant , Rev. méd. de la Suisse Rom. 17:764, 1897. 35. Schiller, A.: Ueber die Kropfoperationem an der Heidelberger Klinik in den Jahren 1888-1898 , Beitr. z. klin. Chir. 24:535, 1899. 36. Vandenberg, H. J.: Report of a Case of Sarcoma of the Thyroid , J. Michigan M. Soc. 16:18 ( (Jan.) ) 1917. 37. Wölfler, A.: Ueber die Entwickelung und den Bau des Kropfes , Arch. f. klin. Chir. 29:754, 1883. 38. Tiffany and Lanier: Primary Sarcoma of the Thyroid Gland , Ann. Surg. 26:498, 1897. 39. Saltykow: Ueber das Gleichzeitge Vorkommen des Sarkoms und des Carcinoms in der Schilddrüse , Zentrabi. f. allg. Path. u. path. Anat. 16:547, 1905.
Archives of Surgery – American Medical Association
Published: Feb 1, 1926
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