Volume 8, Number 4 (Winter 2005)                   hmj 2005, 8(4): 239-244 | Back to browse issues page


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Tohidi M, Moosavi S, Hadaegh F. Solitary skull metastasis from follicular thyroid carcinoma: a case report. hmj. 2005; 8 (4) :239-244
URL: http://hmj.hums.ac.ir/article-1-317-en.html

Abstract:   (8654 Views)
Introduction: Follicular thyroid carcinoma (FTC) is the second most common malignant form of thyroid cancers. FTC is more common in women with a peak incidence in the fifth and sixth decades of life. Invasion into blood vessels may lead to distant metastasis to bone, lung, liver or elsewhere. FTC rarely manifests itself as a distant metastatic lesion, especially as solitary metastasis.
Case report: Here we present a 65 years old woman with nodular goiter with cytologic diagnosis of adenomatous goiter. In follow up, she presented with a skull mass which had an osteolytic appearance in parietal bone. Biopsy from skull mass, showed metastasis from FTC. This diagnosis was confirmed in histologic examination of the thyroidectomy specimen.
Conclusion: Thus, in approaching thyroid nodules, the limitations of fine needle aspiration-cytology in differentiation of follicular lesions must be remembered. Also in patients with nodular goiter and evidence of metastasis, possibility of thyroid carcinomas as primary origin should be considered
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Type of Study: Research | Subject: General
Received: 2012/10/24

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