Case Report: Diagnosis and treatment strategy for a case of multiple chest wall implantations and neck lymph node metastasis following total areola endoscopic surgery for papillary thyroid carcinoma

Careful preoperative assessment is essential to appropriately select patients for Total areola endoscopic thyroid surgery. In elderly patients with postoperative local lymph node recurrence, surgical tract metastasis, vocal cord paralysis, mild dyspnea, patient and family refusal of further treatment, or progression to the more aggressive tall cell variant of PTC without prior radioiodine therapy, oral administration of anlotinib may be considered after thorough discussion. This targeted therapy may result in tumor regression, symptom amelioration, and potentially extended overall survival in such challenging cases.