?url_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Adc&rft.title=Insular+Carcinoma+of+Thyroid+Presenting+as+a+Giant+Skull+Lesion%3A+A+Dilemma+in+Treatment.&rft.creator=Gupta%2C+R&rft.creator=Gupta%2C+AK&rft.creator=Shankar%2C+A&rft.creator=Bansal%2C+S&rft.creator=Bhattacharya%2C+A&rft.creator=Bal%2C+A&rft.subject=Online+Journal+of+Health+and+Allied+Sciences&rft.description=Thyroid+surgeons+are+becoming+increasingly+more+aware+of+a+histologically+distinct+subset+of+thyroid+carcinoma+whose+classification+falls+between+well-differentiated+and+anaplastic+carcinomas+with+respect+to+both+cell+differentiation+and+clinical+behavior.+This+subtype+of+tumors+has+been+categorized+as+poorly+differentiated+or+insular+carcinoma%2C+based+on+its+characteristic+cell+groupings.+Although+the+differentiation+of+insular+carcinoma+from+other+thyroid+carcinomas+has+important+prognostic+and+therapeutic+significance%2C+relatively+little+about+insular+carcinoma+has+been+published+in+the+otolaryngology+literature.+In+this+article%2C+we+discuss+a+case+of+insular+carcinoma+of+thyroid+presenting+with+concurrent+distant+metastasis+to+skull%2C+lung%2C+ribs%2C+and+inguinal+region+with+review+of+the+literature.+We+conclude+that+insular+thyroid+carcinoma+warrants+aggressive+management+with+total+thyroidectomy+and+excision+of+accessible+giant+lesion+followed+by+radioactive+iodine+ablation+of+any+remaining+thyroid+tissue.&rft.publisher=Kakkilaya+BS&rft.contributor=Kakkilaya%2C+Dr+Srinivas&rft.date=2013-01-25&rft.type=Journal+(On-line%2FUnpaginated)&rft.type=PeerReviewed&rft.format=application%2Fpdf&rft.identifier=http%3A%2F%2Fcogprints.org%2F8939%2F1%2F2012-4-10.pdf&rft.identifier=++Gupta%2C+R+and+Gupta%2C+AK+and+Shankar%2C+A+and+Bansal%2C+S+and+Bhattacharya%2C+A+and+Bal%2C+A++(2013)+Insular+Carcinoma+of+Thyroid+Presenting+as+a+Giant+Skull+Lesion%3A+A+Dilemma+in+Treatment.++%5BJournal+(On-line%2FUnpaginated)%5D+++++&rft.relation=http%3A%2F%2Fcogprints.org%2F8939%2F