Low Back Pain as the First Presentation of Hürthle Cell Carcinoma of Thyroid
| Autor: | Leonardo Rafael Takahashi, Sílvio Tenório Gameleira Filho, Ricardo Vieira Botelho, Jânio Alves Ferreira, Matheus Fernandes de Oliveira, José Marcus Rotta |
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| Rok vydání: | 2015 |
| Předmět: |
Pathology
medicine.medical_specialty medicine.diagnostic_test business.industry Thyroid Nodule (medicine) Magnetic resonance imaging medicine.disease Low back pain Lesion medicine.anatomical_structure medicine Surgery Neurology (clinical) medicine.symptom Presentation (obstetrics) business Thyroid cancer Vertebral column |
| Zdroj: | Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery. 34:053-055 |
| ISSN: | 2359-5922 0103-5355 |
| DOI: | 10.1055/s-0035-1547379 |
| Popis: | Hurthle cell carcinoma is a rare variant of differentiated thyroid cancer and occasionally generates distant metastases. There are few reports of Hurthle cell carcinoma metastases to the vertebral column and none with sacral involvement. Here, we report a 48-year-old woman with a 2-year history of moderate low back pain, alleviated with analgesic medication. Her previous medical files were unremarkable. She performed medical evaluation, and a magnetic resonance of lumbar spine revealed a solitary hypointense T2 lesion on the left lamina of S1. The patient was submitted to percutaneous biopsy that displayed carcinomatous pattern compatible with Hurthle cell carcinoma of thyroid. After that, she was submitted to thyroid ultrasound that showed a nodule. Even in the presence of metastases, patients with Hurthle cell carcinoma usually have a relatively good prognosis. We discuss aspects of the diagnosis, management, and surgical treatment of metastatic Hurthle cell carcinoma in reference to the literature. |
| Databáze: | OpenAIRE |
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