Papillary thyroid microcarcinoma presenting as a metastasis to the brain
| Autor: | Tom R. Kurzawinski, Michael S. Shawky, Ian Proctor, Tarek Ezzat Abdel-Aziz |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Thyroid Gland 030209 endocrinology & metabolism Neurosurgical Procedures Papillary thyroid cancer Metastasis 03 medical and health sciences 0302 clinical medicine Seizures medicine Humans Thyroid Neoplasms medicine.diagnostic_test business.industry Brain Neoplasms Thyroid Thyroidectomy Brain Magnetic resonance imaging Histology General Medicine Middle Aged medicine.disease Magnetic Resonance Imaging Carcinoma Papillary medicine.anatomical_structure Online Case Report 030220 oncology & carcinogenesis Surgery Histopathology Radiology business Brain metastasis |
| Zdroj: | Ann R Coll Surg Engl |
| Popis: | The brain is a particularly rare site of metastasis from papillary microcarcinoma, with only few cases described in the literature. We present a case of 59-year-old man who presented with seizures and dysphasia due to left frontal lobe cystic mass, which was excised and turned out on histopathology to be of thyroid origin. Total thyroidectomy was performed and histology showed multifocal papillary microcarcinoma with the largest focus of 3mm with no other adverse features. The patient had ablative radioactive iodine postoperatively, with subsequent exit scan showing no uptake in the brain. Follow-up brain magnetic resonance imaging showed continuous regression of the surgical cavity. Although rare, such cases should be aggressively treated and followed up over the long term, because of reported associated high mortality. |
| Databáze: | OpenAIRE |
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