hibi yatsuka

A 78-year-old man was referred to our department via the Department of Surgery at our hospital due to a recurrent thyroid tumor. He had undergone surgery for thyroid cancer at another hospital 15 years earlier, and resection of a local recurrence 12 years ago. He had received a total of 85 Gy of radiation for two other local tumor recurrences, 11 and 5 years ago respectively. He had been referred to the Department of Surgery due to a subsequent increase in tumor size as well as an increase in bleeding from 1 year ago.<br>A hemorrhagic and malodorous mass was observed on the right side of the anterior neck region on initial examination. As the tumor was highly hemorrhagic, embolization of the right superior thyroid artery was performed four times, and Mohs chemosurgery was performed to stop the bleeding from the tumor surface and to reduce the tumor size. Mohs chemosurgery reduced the amount of bleeding from the tumor region as well as the tumor size, results which improved the patient's quality of life (QOL).[Skin Cancer (Japan) 2011 ; 26 : 210-214]