{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T11:46:53Z","timestamp":1792064813586,"version":"4.4.0"},"reference-count":5,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T00:00:00Z","timestamp":1792022400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T00:00:00Z","timestamp":1792022400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["World j. otorhinolaryngol.-head neck surg."],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>The recent report by Gao and colleagues highlights an infrequent yet clinically significant manifestation of papillary thyroid carcinoma, PTC: isolated cutaneous metastasis appearing 8 years post\u2010resection. While the rarity of the case is undeniable, this critique explores the nuances of the diagnostic discordance observed\u2014specifically the thyroglobulin, Tg, negativity in the metastatic lesion despite PAX\u20108 and TTF\u20101 positivity\u2014and challenges the authors' hypothesis regarding the role of thyrotropin suppression. Furthermore, we examine the therapeutic decision to pursue conservative local excision over comprehensive systemic intervention. In high\u2010stakes oncological management, the balance between functional preservation and radical eradication remains a subject of intense debate. This correspondence underscores the necessity for comprehensive molecular profiling, such as BRAF and TERT promoter analysis, to better understand the aggressive biological behavior of seemingly \u201clow\u2010risk\u201d primary tumors and to refine follow\u2010up protocols for early detection of atypical recurrence.<\/jats:p>","DOI":"10.1002\/wjo2.70174","type":"journal-article","created":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T10:52:24Z","timestamp":1792061544000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Correspondence of Papillary Thyroid Cancer With Cutaneous Metastasis in Thyroidology"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5217-0755","authenticated-orcid":false,"given":"Ilker","family":"Sengul","sequence":"first","affiliation":[{"name":"Thyroidology Unit, Giresun University Faculty of Medicine Giresun Turkey"},{"name":"Division of Endocrine Surgery Giresun University Faculty of Medicine Giresun Turkey"},{"name":"Department of General Surgery Giresun University Faculty of Medicine Giresun Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0416-0621","authenticated-orcid":false,"given":"Demet","family":"Sengul","sequence":"additional","affiliation":[{"name":"Department of Pathology Giresun University Faculty of Medicine Giresun Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,15]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/wjo2.70128"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1590\/1806-9282.20210763"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1590\/1806-9282.20201013"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1590\/1806-9282.20210856"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/wjo2.70175"}],"container-title":["World Journal of Otorhinolaryngology - Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/wjo2.70174","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/wjo2.70174","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/wjo2.70174","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T10:52:25Z","timestamp":1792061545000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/wjo2.70174"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,15]]},"references-count":5,"alternative-id":["10.1002\/wjo2.70174"],"URL":"https:\/\/doi.org\/10.1002\/wjo2.70174","archive":["Portico"],"relation":{},"ISSN":["2095-8811","2589-1081"],"issn-type":[{"value":"2095-8811","type":"print"},{"value":"2589-1081","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,15]]},"assertion":[{"value":"2026-07-06","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-06","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-15","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"wjo2.70174"}}