Concurrent metastases of papillary thyroid carcinoma to the scalp and Meckel’s cave
| Autor: | Mohamed Zak Rajput, Jamie L. Mull, Amy Musiek, Patrick S. Phelan |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Image-Guided Biopsy
Male medicine.medical_specialty Skin Neoplasms medicine.medical_treatment Adenocarcinoma Skull Base Neoplasms Metastasis Thyroid carcinoma 030207 dermatology & venereal diseases 03 medical and health sciences 0302 clinical medicine Positron Emission Tomography Computed Tomography Biopsy medicine Humans Whole Body Imaging Thyroid Neoplasms Aged Unusual Presentation of More Common Disease/Injury Scalp medicine.diagnostic_test business.industry Thyroidectomy Erythematous papule General Medicine medicine.disease Magnetic Resonance Imaging Carcinoma Papillary medicine.anatomical_structure Head and Neck Neoplasms 030220 oncology & carcinogenesis Cutaneous melanoma Radiology Dura Mater Headaches medicine.symptom business |
| Zdroj: | BMJ Case Rep |
| Popis: | We present the case of a 65-year-old man with severe headaches and unilateral facial weakness, seen in consultation by the dermatology service to rule out primary cutaneous melanoma after brain imaging identified an enlarging mass within the right trigeminal (Meckel's) cave. Examination revealed only a pair of erythematous papules on the scalp, for which biopsy demonstrated metastatic papillary thyroid carcinoma. Further evaluation and subsequent thyroidectomy confirmed the origin of widespread internal disease, followed by definitive excision of scalp lesions and multimodal management of systemic involvement. Whereas presentation of metastasis to the skin is highly variable, a low threshold for biopsy may allow for histological identification of internal disease not otherwise considered in the clinical differential. |
| Databáze: | OpenAIRE |
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