Thoracic Wall Metastasis from an Occult Thyroid Follicular Carcinoma
| Autor: | Palitha Rathnayake, Deepthika Chandrasekara, Bmrs Balasooriya, Nadeesha Jeewan Nawarathna, Rjk Senevirathne, Nawam R Kumarasinghe |
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| Rok vydání: | 2014 |
| Předmět: | |
| Zdroj: | World Journal of Endocrine Surgery. 6:119-122 |
| ISSN: | 0975-7902 0975-5039 |
| DOI: | 10.5005/jp-journals-10002-1152 |
| Popis: | Occult thyroid carcinoma presenting with clinically apparent metastasis is rare and is a diagnostic challenge. Here, we report a 67-year-old male who presented with a left side chest wall mass resembling a soft tissue sarcoma of 1 year duration. The mass showed rapid enlargement at the latter end of its course, following an initial asymptomatic period. Imaging studies showed a soft tissue mass eroding into several ribs. Wide local excision with primary reconstruction was performed. Histological studies and immune staining revealed metastasis from a follicular thyroid carcinoma. Total thyroidectomy followed, confirming the diagnosis. Postoperatively, radioisotope ablation (I131) was done. A suppression dose of thyroxin was continued with regular thyroglobulin assays. Painful bone metastasis responded well to analgesics, bisphosphonates and external beam radiotherapy. Follicular carcinoma comprises 10 to 15% of thyroid malignancies. Localized thyroid carcinoma has a very good prognosis, 10 years survival rates reducing by 50% with metastatic disease. Commonly, thyroid cancer presents as detectable thyroid nodules, 25% having metastasis. In contrast, metastatic manifestations are reported in less than 5% of occult thyroid cancers. How to cite this article Nawarathna NJ, Kumarasinghe NR, Chandrasekara D, Rathnayake P, Balasooriya BMRS, Senevirathne RJK. Thoracic Wall Metastasis from an Occult Thyroid Follicular Carcinoma. World J Endoc Surg 2014;6(3):119-122. |
| Databáze: | OpenAIRE |
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