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Huang X, Chen Y, Zeng D, Liang R, Liao Z, Wei G, Hao W, Lu W, Chen Y. Complete resorption of the humerus in metastatic thyroid carcinoma: a case report. BMC Musculoskelet Disord 2024; 25:177. [PMID: 38413955 PMCID: PMC10897982 DOI: 10.1186/s12891-024-07250-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/07/2023] [Accepted: 02/01/2024] [Indexed: 02/29/2024] Open
Abstract
BACKGROUND Thyroid carcinoma is the most common endocrinological malignancy, but its spread to bone is rare. Particularly, bone metastases leading to complete resorption of the humerus are extremely uncommon. We aimed to explore factors affecting treatment decision in humeral metastasis by presenting a case and analyze the possible treatments via conducting a literature review. CASE PRESENTATION We described a case of a 68-year-old woman experiencing chronic pain in her right upper arm for six years. Clinical, radiological, and pathological evaluations confirmed humeral metastasis from thyroid carcinoma. Surgical treatments like tumor removal or limb amputation were suggested for prolonging life and pain relief, but the patient refused them and pursued conservative managements such as herbal medicine, radioactive iodine (131I) therapy, and Levothyroxine Sodium(L-T4). The humeral destruction aggravated gradually, ultimately leading to complete resorption of her right humerus. The patient could not move her right shoulder, but her forearm motion was almost normal; thus, she could complete most of her daily living activities independently. Surgical treatments such as limb amputation were advised but she still refused them for preservation of the residual limb function and preferred conservative managements. CONCLUSION A personalized multidisciplinary approach is important for patients with bone metastasis. The balance between limb amputation for life-prolonging and pain relief and limb salvage for preservation of residual function and social and psychological well-being should be considered. Our literature review revealed that some novel surgical treatments and techniques are available for bone metastases. This case adds to our current understanding of bone metastases and will contribute to future research and treatments.
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Grants
- 82060406 National Natural Science Foundation of China
- 82060406 National Natural Science Foundation of China
- 82060406 National Natural Science Foundation of China
- 82060406 National Natural Science Foundation of China
- 82060406 National Natural Science Foundation of China
- 82060406 National Natural Science Foundation of China
- 82060406 National Natural Science Foundation of China
- 82060406 National Natural Science Foundation of China
- 82060406 National Natural Science Foundation of China
- 2022JJA141126 Natural Science Foundation of Guangxi
- 2022JJA141126 Natural Science Foundation of Guangxi
- 2022JJA141126 Natural Science Foundation of Guangxi
- 2022JJA141126 Natural Science Foundation of Guangxi
- 2022JJA141126 Natural Science Foundation of Guangxi
- 2022JJA141126 Natural Science Foundation of Guangxi
- 2022JJA141126 Natural Science Foundation of Guangxi
- 2022JJA141126 Natural Science Foundation of Guangxi
- 2022JJA141126 Natural Science Foundation of Guangxi
- 2019M650235 Advanced Innovation Teams and Xinghu Scholars Program of Guangxi Medical University, China Postdoctoral Science Foundation
- 2019M650235 Advanced Innovation Teams and Xinghu Scholars Program of Guangxi Medical University, China Postdoctoral Science Foundation
- 2019M650235 Advanced Innovation Teams and Xinghu Scholars Program of Guangxi Medical University, China Postdoctoral Science Foundation
- 2019M650235 Advanced Innovation Teams and Xinghu Scholars Program of Guangxi Medical University, China Postdoctoral Science Foundation
- 2019M650235 Advanced Innovation Teams and Xinghu Scholars Program of Guangxi Medical University, China Postdoctoral Science Foundation
- 2019M650235 Advanced Innovation Teams and Xinghu Scholars Program of Guangxi Medical University, China Postdoctoral Science Foundation
- 2019M650235 Advanced Innovation Teams and Xinghu Scholars Program of Guangxi Medical University, China Postdoctoral Science Foundation
- 2019M650235 Advanced Innovation Teams and Xinghu Scholars Program of Guangxi Medical University, China Postdoctoral Science Foundation
- 2019M650235 Advanced Innovation Teams and Xinghu Scholars Program of Guangxi Medical University, China Postdoctoral Science Foundation
- 2021003 Key R&D Project of Qingxiu District, Nanning, Guangxi
- 2021003 Key R&D Project of Qingxiu District, Nanning, Guangxi
- 2021003 Key R&D Project of Qingxiu District, Nanning, Guangxi
- 2021003 Key R&D Project of Qingxiu District, Nanning, Guangxi
- 2021003 Key R&D Project of Qingxiu District, Nanning, Guangxi
- 2021003 Key R&D Project of Qingxiu District, Nanning, Guangxi
- 2021003 Key R&D Project of Qingxiu District, Nanning, Guangxi
- 2021003 Key R&D Project of Qingxiu District, Nanning, Guangxi
- 2021003 Key R&D Project of Qingxiu District, Nanning, Guangxi
- Key R&D Project of Qingxiu District, Nanning, Guangxi
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Affiliation(s)
- Xiajie Huang
- Department of Bone and Joint Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning, China
| | - Yeping Chen
- Department of Bone and Joint Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning, China
| | - Daofu Zeng
- Department of Bone and Joint Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning, China
| | - Rongyuan Liang
- Department of Bone and Joint Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning, China
| | - Zhidong Liao
- Department of Bone and Joint Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning, China
| | - Guizheng Wei
- Department of Bone and Joint Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning, China
| | - Wenjun Hao
- Department of Bone and Joint Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning, China
| | - William Lu
- Department of Orthopaedics and Traumatology, The University of Hong Kong, Hong Kong, China
| | - Yan Chen
- Department of Bone and Joint Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning, China.
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2
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Iritani Y, Kato H, Kaneko Y, Shibata H, Iinuma R, Ogawa T, Suzui N, Miyazaki T, Matsuo M. Two cases of flow void sign of temporal bone metastasis from follicular thyroid carcinoma. Neuroradiol J 2023; 36:361-365. [PMID: 36384335 PMCID: PMC10268090 DOI: 10.1177/19714009221140488] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2023] Open
Abstract
This report describes CT and MRI findings of temporal bone metastasis from follicular thyroid carcinoma in two cases. Both of these had large, osteolytic, hypervascular masses of the temporal bone, accompanied by internal scattered bone fragments and extraosseous mass formation on unenhanced and contrast-enhanced CT images. In the first case, several dilated and tortuous vessels within the markedly hypervascular mass were observed on the arterial phase of dynamic contrast-enhanced CT images. Compared with the signal intensity of the cerebellum, temporal bone masses showed slightly hypo- to slightly hyperintense on T1-weighted images and slightly hypo- to moderately hyperintense on T2-weighted images. Both cases had flow voids in abnormally dilated vessels within the mass on T1- and T2-weighted images. Thyroid follicular carcinoma rarely metastasizes the temporal bone and presents with an osteolytic hypervascular mass with flow void sign.
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Affiliation(s)
| | - Hiroki Kato
- Department of Radiology, Gifu University, Gifu, Japan
| | - Yo Kaneko
- Department of Radiology, Gifu University, Gifu, Japan
| | | | - Ryota Iinuma
- Department of Otolaryngology, Gifu University, Gifu, Japan
| | - Takenori Ogawa
- Department of Otolaryngology, Gifu University, Gifu, Japan
| | - Natsuko Suzui
- Department of Pathology, Gifu University Hospital, Gifu, Japan
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3
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Yang CM. Metastasis of Follicular Thyroid Carcinoma to Skull Base: A Case Report. Cureus 2022; 14:e28571. [PMID: 36185905 PMCID: PMC9520636 DOI: 10.7759/cureus.28571] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/29/2022] [Indexed: 11/05/2022] Open
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4
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Staged surgical treatment for a giant hypervascular extra-intracranial metastasis of thyroid cancer using preoperative embolization and total microsurgical removal. INTERDISCIPLINARY NEUROSURGERY 2022. [DOI: 10.1016/j.inat.2021.101387] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
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5
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Ieni A, Fadda G, Alario G, Pino A, Ficarra V, Dionigi G, Tuccari G. Metastatic thyroid carcinoma mimicking as a primary neoplasia of the kidney: A case report. Mol Clin Oncol 2021; 15:268. [PMID: 34790352 PMCID: PMC8591691 DOI: 10.3892/mco.2021.2430] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2021] [Accepted: 07/19/2021] [Indexed: 11/10/2022] Open
Abstract
The unfavorable behavior of primary thyroid carcinoma (PTC) has been revealed by the hematogenous distant metastases in ~20-25% of cases with frequent localizations in lungs and bones, but infrequently in kidney. A 69-year-old male patient was admitted to Department of Human Pathology in Adulthood and Childhood 'G. Barresi', University Hospital G. Martino, (Messina, Italy) for an incidentally detected parenchymal mass involving the right kidney. A partial nephrectomy was done; at the post-surgical examination, a large nodular grayish mass was documented. Microscopically, a diffuse proliferation with solid/follicular pattern with some colloid-filled spaces was appreciable. An intense immunopositivity was revealed for thyroglobulin, thyroid transcription factor-1 (TTF-1), paired-box gene 8 (PAX-8) and cytokeratin 7, while CD10 and renal cell carcinoma marker were negative. A diagnosis of the metastatic thyroid follicular carcinoma localized in the kidney was made. At ultrasound examination, a hyperechoic mass extending from the left thyroid lobe to the isthmus, to which TIR4 diagnostic category according to the Italian reporting system for thyroid cytology was attributed. After thyroid surgical procedure, the final diagnosis of primitive differentiated follicular thyroid carcinoma with foci of poorly differentiated component was made.
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Affiliation(s)
- Antonio Ieni
- Pathology Section, Department of Human Pathology in Adulthood and Childhood ‘Gaetano Barresi’, University Hospital G. Martino, University of Messina, I-98125 Messina, Italy
| | - Guido Fadda
- Pathology Section, Department of Human Pathology in Adulthood and Childhood ‘Gaetano Barresi’, University Hospital G. Martino, University of Messina, I-98125 Messina, Italy
| | - Giuseppe Alario
- Urology Section, Department of Human Pathology in Adulthood and Childhood ‘Gaetano Barresi’, University Hospital G. Martino, University of Messina, I-98125 Messina, Italy
| | - Antonella Pino
- Endocrine and Minimally Invasive Surgery Section, Department of Human Pathology in Adulthood and Childhood ‘Gaetano Barresi’, University Hospital G. Martino, University of Messina, I-98125 Messina, Italy
| | - Vincenzo Ficarra
- Urology Section, Department of Human Pathology in Adulthood and Childhood ‘Gaetano Barresi’, University Hospital G. Martino, University of Messina, I-98125 Messina, Italy
| | - Gianlorenzo Dionigi
- Endocrine and Minimally Invasive Surgery Section, Department of Human Pathology in Adulthood and Childhood ‘Gaetano Barresi’, University Hospital G. Martino, University of Messina, I-98125 Messina, Italy
| | - Giovanni Tuccari
- Pathology Section, Department of Human Pathology in Adulthood and Childhood ‘Gaetano Barresi’, University Hospital G. Martino, University of Messina, I-98125 Messina, Italy
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6
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Liu Y, Liu X, Chen X, Zhou L, Gao X, Yu H. Follicular thyroid carcinoma presenting with multiple skull metastases on CT and MRI: A case report and literature review. Radiol Case Rep 2021; 16:3260-3265. [PMID: 34484527 PMCID: PMC8403711 DOI: 10.1016/j.radcr.2021.07.054] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2021] [Revised: 07/21/2021] [Accepted: 07/24/2021] [Indexed: 11/24/2022] Open
Abstract
Although the incidence of thyroid carcinoma has increased in recent years, follicular thyroid carcinoma with bone metastasis as the first symptom remains rare. Here, we report a case of occult follicular thyroid carcinoma in a 65-year-old female patient admitted to hospital with cerebrovascular disease. Computed tomography findings suggested a diagnosis of meningioma; however, magnetic resonance imaging results showed multiple skull bone destruction with soft tissue masses on the left side of the skull. After surgical resection, the pathology results revealed skull metastasis of follicular thyroid carcinoma. We present this case not only because of the diagnostic challenge it posed, but also because the patient had multiple skull metastases from follicular thyroid carcinoma.
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Affiliation(s)
- Ying Liu
- Department of CTMR, Ningcheng County Central Hospital, Ningcheng Inner Mongolia 024200, China
| | - Xianchen Liu
- Department of CTMR, Ningcheng County Central Hospital, Ningcheng Inner Mongolia 024200, China
| | - Xuezhi Chen
- Department of CTMR, Ningcheng County Central Hospital, Ningcheng Inner Mongolia 024200, China
| | - Lianjun Zhou
- Department of CTMR, Ningcheng County Central Hospital, Ningcheng Inner Mongolia 024200, China
| | - Xiaoling Gao
- Department of CTMR, Ningcheng County Central Hospital, Ningcheng Inner Mongolia 024200, China
| | - Hao Yu
- Department of CTMR, Ningcheng County Central Hospital, Ningcheng Inner Mongolia 024200, China
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7
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CAI DIMING, WANG HUIYAO, JIANG YONG, PARAJULY SHYAMSUNDAR, TIAN YE, MA BUYUN, LI YONGZHONG, SONG BIN, LUO YAN. Primary follicular thyroid carcinoma metastasis to the kidney and widespread dissemination: A case report. Oncol Lett 2016; 11:3293-3297. [PMID: 27123105 PMCID: PMC4840877 DOI: 10.3892/ol.2016.4417] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/01/2015] [Accepted: 10/30/2015] [Indexed: 02/05/2023] Open
Abstract
Distant metastases are more common in follicular thyroid carcinoma (FC) than in papillary thyroid carcinoma. However, FC metastasis to the kidney with eggshell calcification, as observed in the present case, is rare. The current report presents a case of a 67-year-old woman exhibiting a solitary tumor in the mid pole of the left kidney. Radical nephrectomy was performed, as the tumor was diagnosed as a primary renal carcinoma using contrast-enhanced computed tomography. Once the tumor was confirmed to be FC, total thyroidectomy was performed. Following administration of an oral therapeutic dose of 100 mCi 131I, functional imaging demonstrated the presence of multifocal metastases in the chest and abdomen. Euthyrox® was prescribed orally to aid normal thyroid function. Follow-up 6 months later using radionuclide imaging demonstrated the disappearance of the multifocal metastases in the chest and abdomen. The distant metastasis of FC may represent the initial symptom of the primary lesion, which was neglected. Ultrasound is an effective method to examine nodules located on the thyroid.
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Affiliation(s)
- DI-MING CAI
- Department of Ultrasound, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P.R. China
| | - HUI-YAO WANG
- Department of Resident Doctor Training, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P.R. China
| | - YONG JIANG
- Department of Pathology, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P.R. China
| | - SHYAM SUNDAR PARAJULY
- Department of Ultrasound, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P.R. China
| | - YE TIAN
- Department of Ultrasound, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P.R. China
| | - BU-YUN MA
- Department of Ultrasound, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P.R. China
| | - YONG-ZHONG LI
- Department of Ultrasound, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P.R. China
| | - BIN SONG
- Department of Radiology, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P.R. China
| | - YAN LUO
- Department of Ultrasound, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P.R. China
- Correspondence to: Dr Yan Luo, Department of Ultrasound, West China Hospital, Sichuan University, 37 Guo Xue Xiang, Chengdu, Sichuan 610041, P.R. China, E-mail:
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8
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Jehangir A, Pathak R, Aryal M, Qureshi A, Jehangir Q, Alweis R, Truex R, Kimmel W. Thyroid follicular carcinoma presenting as metastatic skin nodules. J Community Hosp Intern Med Perspect 2015; 5:26332. [PMID: 25656674 PMCID: PMC4318834 DOI: 10.3402/jchimp.v5.26332] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2014] [Revised: 11/24/2014] [Accepted: 12/02/2014] [Indexed: 11/14/2022] Open
Abstract
Background Follicular thyroid cancer (FTC) metastasizes most commonly to the lungs and non-cranial bones. Skull and skin are uncommon sites and usually manifest well after the diagnosis of primary malignancy. Metastasis to skull and skin as the presenting feature of FTC is infrequently reported in the literature. Case presentation A 65-year-old Caucasian woman with a history of thyroid nodule presented with the complaint of rapidly growing skull nodules which had been present for 3 years but were stable previously. She denied any fevers, chills, history of trauma, or weight loss. She denied any history of smoking or head and neck irradiation. On physical examination, she had two non-tender gray cystic lesions – one on her left temporal region and the other on the right parietal region. Biopsy was consistent with metastatic FTC. Magnetic resonance imaging of the brain demonstrated 7.1×3.8 cm and 3.7×4.5 cm fairly homogeneous, enhancing, relatively well-defined masses centered in the posterior and left anterior lateral calvarium with intracranial and extracranial extensions but without any vasogenic edema or mass effect on the brain. Thyroid ultrasound showed numerous nodules in both lobes. The patient underwent a total thyroidectomy. Histopathological studies of the thyroid gland revealed a well-differentiated FTC in the left lobe. Then she underwent resection of the tumor in multiple stages. She did not have any recurrence of the FTC or metastases during the follow-up period and will be receiving radioactive iodine treatment. Conclusion Bone and lung are the common sites of metastasis from FTC, but involvement of skull or skin is unusual, particularly as the presenting feature. Metastases from FTC should be in the differential of patients with new osteolytic hypervascular skull lesions or cutaneous lesions in head and neck area.
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Affiliation(s)
- Asad Jehangir
- Department of Internal Medicine, Reading Health System, West Reading, PA, USA;
| | - Ranjan Pathak
- Department of Internal Medicine, Reading Health System, West Reading, PA, USA
| | - Madan Aryal
- Department of Internal Medicine, Reading Health System, West Reading, PA, USA
| | - Anam Qureshi
- King Edward Medical University, Lahore, Pakistan
| | | | - Richard Alweis
- Department of Internal Medicine, Reading Health System, West Reading, PA, USA.,Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USA
| | - Raymond Truex
- Neurosurgery, Reading Health System, West Reading, PA, USA
| | - William Kimmel
- Anatomic Pathology, Reading Health System, West Reading, PA, USA
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9
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Sioka C, Skarulis M, Tulloch-Reid M, Heiss J, Reynolds J. “Hidden” bone metastasis from thyroid carcinoma: A clinical note. Rev Esp Med Nucl Imagen Mol 2014. [DOI: 10.1016/j.remnie.2013.12.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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10
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Sioka C, Skarulis MC, Tulloch-Reid MK, Heiss JD, Reynolds JC. "Hidden" bone metastasis from thyroid carcinoma: a clinical note. Rev Esp Med Nucl Imagen Mol 2014; 33:36-8. [PMID: 23845451 PMCID: PMC4294188 DOI: 10.1016/j.remn.2013.05.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2013] [Revised: 05/21/2013] [Accepted: 05/21/2013] [Indexed: 11/22/2022]
Abstract
The (131)I-iodide ((131)I) whole-body scan, for thyroid carcinoma is at times difficult to interpret. In a diagnostic whole body (131)I scan of a patient with follicular carcinoma, a posterior skull lesion was partially hidden by overlapping facial structures. On lateral head view, the abnormality was clearly evident. SPECT/CT and MRI showed the lesion originated in the occipital bone and had enlarged into the posterior fossa. The mass was surgically removed and the patient received (131)I therapy for residual tissue. The study demonstrates a pitfall in the reading of two dimensional radioiodine images which can be overcome by SPECT or lateral imaging.
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Affiliation(s)
- C Sioka
- Nuclear Medicine Division, Department of Radiology and Imaging Sciences, Bethesda, MD, USA
| | - M C Skarulis
- Diabetes, Obesity and Endocrinology Branch, National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD, USA
| | - M K Tulloch-Reid
- Epidemiology Research Unit, Tropical Medicine Research, The University of the West Indies, Kingston, Jamaica
| | - J D Heiss
- Surgical Neurology Branch, National Institutes of Neurological Disorders and Stroke, Bethesda, MD, USA
| | - J C Reynolds
- Nuclear Medicine Division, Department of Radiology and Imaging Sciences, Bethesda, MD, USA.
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11
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Matsuno A, Murakami M, Hoya K, M. Yamada S, Miyamoto S, Yamada S, Son JH, Nishido H, Ide F, Nagashima H, Sugaya M, Hirohata T, Mizutani A, Okinaga H, Ishii Y, Tahara S, Teramoto A, Osamura RY, Yamazaki K, Ishida Y. Clinicopathological and molecular histochemical review of skull base metastasis from differentiated thyroid carcinoma. Acta Histochem Cytochem 2013; 46:129-36. [PMID: 24194626 PMCID: PMC3813819 DOI: 10.1267/ahc.13019] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2013] [Accepted: 10/03/2013] [Indexed: 02/02/2023] Open
Abstract
Skull base metastasis from differentiated thyroid carcinoma including follicular thyroid carcinoma (FTC) and papillary thyroid carcinoma (PTC) is a rare clinical entity. Eighteen FTC cases and 10 PTC cases showing skull base metastasis have been reported. The most common symptom of skull base metastasis from FTC and PTC is cranial nerve dysfunction. Bone destruction and local invasion to the surrounding soft tissues are common on radiological imaging. Skull base metastases can be the initial clinical presentation of FTC and PTC in the presence of silent primary sites. The possibility of skull base metastasis from FTC and PTC should be considered in patients with the clinical symptoms of cranial nerve dysfunction and radiological findings of bone destruction. A variety of genetic alterations in thyroid tumors have been identified to have a fundamental role in their tumorigenesis. Molecular histochemical studies are useful for elucidating the histopathological features of thyroid carcinoma. Recent molecular findings may provide novel molecular-based treatment strategies for thyroid carcinoma.
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Affiliation(s)
- Akira Matsuno
- Department of Neurosurgery, Teikyo University Chiba Medical Center
| | - Mineko Murakami
- Department of Neurosurgery, Teikyo University Chiba Medical Center
| | - Katsumi Hoya
- Department of Neurosurgery, Teikyo University Chiba Medical Center
| | - Shoko M. Yamada
- Department of Neurosurgery, Teikyo University Chiba Medical Center
| | - Shinya Miyamoto
- Department of Neurosurgery, Teikyo University Chiba Medical Center
| | - So Yamada
- Department of Neurosurgery, Teikyo University Chiba Medical Center
| | - Jae-Hyun Son
- Department of Neurosurgery, Teikyo University Chiba Medical Center
| | - Hajime Nishido
- Department of Neurosurgery, Teikyo University Chiba Medical Center
| | - Fuyuaki Ide
- Department of Neurosurgery, Teikyo University Chiba Medical Center
| | | | - Mutsumi Sugaya
- Department of Rehabilitation, Teikyo University Chiba Medical Center
| | - Toshio Hirohata
- Department of Neurosurgery, Teikyo University Chiba Medical Center
- Department of Neurosurgery, The University of Tokyo
| | - Akiko Mizutani
- Department of Neurosurgery, Teikyo University Chiba Medical Center
- Teikyo Heisei University
| | | | - Yudo Ishii
- Department of Neurosurgery, Nippon Medical School
| | | | | | - R. Yoshiyuki Osamura
- Department of Pathology, International University of Health and Welfare Mita Hospital
| | - Kazuto Yamazaki
- Department of Pathology, Teikyo University Chiba Medical Center
| | - Yasuo Ishida
- Department of Pathology, Teikyo University Chiba Medical Center
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12
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A Rare Case of Skull Base Metastasis from Follicular Carcinoma of Thyroid. Indian J Surg Oncol 2010; 1:334-6. [DOI: 10.1007/s13193-011-0055-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/24/2010] [Accepted: 02/02/2011] [Indexed: 11/26/2022] Open
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