Unveiling Follicular Thyroid Carcinoma by Solitary Spinal Metastasis Causing Severe Neurological Deficit in a 67-Year-Old Female

Research Square (Research Square), Год журнала: 2023, Номер unknown

Опубликована: Июнь 8, 2023

Abstract Background : Follicular thyroid carcinoma (FTC) is a differentiated malignancy that exhibits the ability to metastasize hematogenously distant organs, including lungs and bones. Spinal metastasis an unusual site for even when occurs, presents late in disease course often associated with advanced poor prognosis. Until 2019, literature only showed 29 cases of FTC spinal as first presenting feature. Case Presentation We present case 67-year-old female no previous history who presented acute onset severe neurological deficit ended up bedridden. Magnetic resonance imaging (MRI) spine revealed lesion causing cord compression. Urgent surgical decompression was performed, histopathological analysis confirmed presence metastatic FTC. Subsequent comprehensive evaluation, ultrasonography unveiled very small primary tumor. Conclusion This report highlights importance considering differential diagnosis patients metastasis, absence known malignancy. Prompt diagnosis, staging, multidisciplinary management are crucial optimizing treatment outcomes improvement

Язык: Английский

Intracranial Metastasis from Follicular Thyroid Carcinoma

Опубликована: Янв. 1, 2023

A 64-year-old female was referred to our General Surgery clinic with a posterior scalp lump. She had presented her GP, lump in occipital area of about 3 cm diameter, which gradually increasing size. Due the unclear etiology, CT scan performed (Fig. 1a). This showed large soft tissue mass lesion eroding through left bone. As it suspected that this metastasis, chest and abdomen subsequently 1b). bilateral thyroid nodules dominant solid-cystic nodule occupying most lobe causing mild effect narrowing trachea.

Язык: Английский

Unveiling follicular thyroid carcinoma by solitary spinal metastasis causing severe neurological deficit in a 67-year-old female: A case report

International Journal of Surgery Case Reports, Год журнала: 2023, Номер 109, С. 108541 - 108541

Опубликована: Июль 21, 2023

Follicular thyroid carcinoma (FTC) exhibits the ability to metastasize hematogenously distant organs. Spinal metastasis is an unusual site for that even when it does, spinal manifests late in course of disease and frequently linked advanced a bad prognosis. Until 2019, literature only showed 29 cases FTC with as first presenting feature.We present case 67-year-old female who presented acute onset severe neurological deficit ended up bedridden. Magnetic resonance imaging spine revealed lesion causing cord compression. Urgent surgical decompression was performed, histopathology confirmed metastatic FTC. Subsequent comprehensive evaluation, unveiled primary tumor.FTC accounts 1 % all malignancies, Therefore, regardless how irrelevant symptoms may appear at first, important understand risk factors, screening recommendations, diagnostic techniques, treatment, vast range potential symptoms. Just like our patient, had incontinence abrupt loss motor sensory function her lower limbs be diagnosed compression by FTC.This instance emphasizes crucial consider possible differential diagnosis metastasis, there no known cancer. Prompt diagnosis, staging, multidisciplinary management are optimizing outcomes.

Язык: Английский