Metastatic thyroid carcinoma presented as a large craniofacial mass: Case report and CT findings.

Autor:	Bile-Gui LN; Radiodiagnostic and Medical Imaging Department of Treichville Hospital and University Center, Abidjan, Côte d'Ivoire.; University Felix Houphouet Boigny, Medical sciences department, Abidjan, Côte d'Ivoire., Kouadio E; Radiodiagnostic and Medical Imaging Department of Treichville Hospital and University Center, Abidjan, Côte d'Ivoire.; University Felix Houphouet Boigny, Medical sciences department, Abidjan, Côte d'Ivoire., Ohui-Acko EV; Radiodiagnostic and Medical Imaging Department of Treichville Hospital and University Center, Abidjan, Côte d'Ivoire.; University Felix Houphouet Boigny, Medical sciences department, Abidjan, Côte d'Ivoire., Kabas RM; Radiodiagnostic and Medical Imaging Department of Treichville Hospital and University Center, Abidjan, Côte d'Ivoire.; University Felix Houphouet Boigny, Medical sciences department, Abidjan, Côte d'Ivoire., Koui SB; University Felix Houphouet Boigny, Medical sciences department, Abidjan, Côte d'Ivoire.; Department of pathology of Treichville Hospital and university center, Abidjan, Côte d'Ivoire., Diambra LMA; Radiodiagnostic and Medical Imaging Department of Treichville Hospital and University Center, Abidjan, Côte d'Ivoire., Kouao JS; Radiodiagnostic and Medical Imaging Department of Treichville Hospital and University Center, Abidjan, Côte d'Ivoire.
Jazyk:	angličtina
Zdroj:	Radiology case reports [Radiol Case Rep] 2019 Nov 23; Vol. 15 (2), pp. 128-132. Date of Electronic Publication: 2019 Nov 23 (Print Publication: 2020).
DOI:	10.1016/j.radcr.2019.10.033
Abstrakt:	Cranial metastases are uncommon locations of thyroid papillary carcinoma. They significantly reduce patients' survival, especially in a context of late management. We report the case of a 46-year-old woman who presented an anterior cervical swelling, then a progressive large craniofacial mass for more than 5 years without any treatment. The imaging performed showed a large craniofacial tissue mass with frontotemporal and right orbital bone destruction extended to the face sinuses and the underlying extradural space without brain involvement; the second thyroid tumor right site had similar imaging characteristics to the cranial mass. The diagnosis of papillary carcinoma with craniofacial metastasis was retained after cranial biopsy and thyroid cytology. At this stage, a cranial surgery has not been proposed but a palliative hormonal treatment. The patient died 2 weeks after diagnosis. This case illustrates the relevant role of imaging in the assessment of thyroid tumors and the value of early management for improving patients' survival. (© 2019 The Authors. Published by Elsevier Inc. on behalf of University of Washington.)
Databáze:	MEDLINE
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