Extensive Chest Wall Metastasis Revealing Follicular Thyroid Carcinoma
DOI:
https://doi.org/10.55677/IJCSMR/V4I1-02/2024Keywords:
Chest wall metastasis - Hematogenous metastasis - Occult thyroid carcinoma – Follicular thyroid carcinoma.Abstract
Introduction: Chest wall tumors are a heterogeneous group of rare lesions, arising from any soft tissue or bony structure in the thoracic cavity. They may present as primary or metastatic tumors. Metastatic chest wall tumor from a primary thyroid carcinoma is extremely rare.
Case report: We report a challenging case of a 69 years-old female patient, with a follicular thyroid carcinoma revealed by chest wall tumor measuring 81 x 64 x 64 cm. The patient underwent a biopsy of the chest wall mass concluding to thyroid tumoral origin, then she had a total thyroidectomy and lymph node dissection. A tumorectomy of the chest wall lesion is planned before RAI therapy.
Conclusions: The case of a metastatic lesion originating from a primary thyroid carcinoma not previously known is one manifestation of the condition defined as occult thyroid carcinoma. Metastatic follicular thyroid cancer has poor prognosis, especially when metastases are the first manifestation revealing the diagnosis, which is a sign of advanced disease stage with limited chances of achieving remission.
References
Nayak SR, Soren DK, Mishra A et al. Occult Follicular Thyroid Carcinoma Presenting As Chest Wall Swelling - A Case Report. The Internet Journal of Endocrinology. 2013 Volume 8 Number 1.
Kara M, Akgul T, Yegen G, Aksakal N. Late Onset of an Overlooked Follicular Thyroid Carcinoma Presenting as a Chest Wall Tumor 10 Years Following Thyroidectomy. AACE Clin Case Rep. 2021;7(4):268-272. Published 2021 Mar 5. doi:10.1016/j.aace.2021.02.003
Batta R, Njoum Y, Deek R, Awad F, Bakri IA, Maree M. Follicular thyroid carcinoma with sternal metastasis: A case report. Int J Surg Case Rep. 2023;109:108625. doi:10.1016/j.ijscr.2023.108625
Helmi H; Idrees H; Alshehri A; et al (2017). Rare behavior of follicular variant of papillary thyroid cancer. Clinical Case Reports, 5(11), 1789–1792. doi:10.1002/ccr3.1177
Saijo H, Kitamura Y, Takenaka H, et al. Occult Thyroid Follicular Carcinoma Diagnosed as Metastasis to the Chest Wall. Intern Med. 2017;56(15):2033-2037. doi:10.2169/internalmedicine.56.8340
Nawarathna, Nj. (2014). Thoracic Wall Metastasis from an Occult Thyroid Follicular Carcinoma. Journal of Thyroid Disorders & Therapy. 04. 10.4172/2167-7948.1000168.
Fan JJ, Chen Q. Chest wall metastasis in postoperative thyroid cancer: a case report. J Int Med Res. 2019;47(8):4039-4042. doi:10.1177/0300060519862455
Srinivasan A, Iliescu G, Chowdhuri SR, Grosu HB. Follicular Thyroid Carcinoma Presenting as a Large Rib Metastasis. J Bronchology Interv Pulmonol. 2019;26(4):e67-e68. doi:10.1097/LBR.0000000000000601
Estévez-Ramírez M, Mejía-Sandoval J, Saavedra Alfredo, et al. Prevalence of Thoracic Metastases in Patients with Thyroid Cancer at the National Cancer Institute between 2016 and 2019 in Bogotá, Colombia. Rev Am Med Resp 2023;23:161-167 https://doi.org/10.56538/ramr.NMDQ1943
Boucek J, Kastner J, Skrivan J, Grosso E, Gibelli B, et al. (2009) Occult thyroid carcinoma. ActaOtorhinolaryngolItal 29: 296-304.
Shi Y, Zheng Y, Zhang H. et al. Dynamic estimates of survival in oncocytic cell carcinoma of the thyroid. Discov Onc 14, 217 (2023). https://doi.org/10.1007/s12672-023-00839-4
Pantino MK, Havranova J, Labeeb A, et al, Abstract #1004282: Hurthle Cell Carcinoma of the Thyroid Gland with Breast Metastasis,Endocrine Practice,Volume 27, Issue 6, Supplement, 2021,Page S179,ISSN 1530-891X,
https://doi.org/10.1016/j.eprac.2021.04.848.
Syed A, Vanka SA, Escudero I, Ismail R, Krayem H. Oncocytic Cell Carcinoma of the Thyroid: A Case Report and an Overview of the Diagnosis, Treatment Modalities, and Prognosis. Cureus. 2022;14(10):e30298. Published 2022 Oct 14. doi:10.7759/cureus.30298
Ryan Gertz, Rakesh Sarda, Ricardo Lloyd (2013). Follicular Thyroid Carcinoma Presenting as a Massive Chest Wall Tumor. , 24(1), 20–24. doi:10.1007/s12022-012-9227-6
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