Late-Onset Metastasis of Renal Cell Carcinoma into a Hot Thyroid Nodule: An Uncommon Finding Not to Be Overlooked
Joint Authors
Piccardo, Arnoldo
Massollo, Michela
Bandelloni, Roberto
Foppiani, Luca
Del Monte, Patrizia
Arlandini, Anselmo
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-01-05
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
We report the case of a 74-year-old man with a four-year history of right nephrectomy for clear cell renal carcinoma (CCRC) who was diagnosed with hyperthyroidism.
On ultrasound (US), a 5 cm solid isohypoechoic nodule with intranodular vascularization was found in the left thyroid lobe.
The nodule was deemed autonomous on T99mc thyroid scan.
Methimazole was started and serum thyroid hormone levels quickly normalized; euthyroidism was maintained with a very low dosage of antithyroid drug.
Over time, compressive symptoms and local pain occurred and US revealed growth of the nodule.
Total thyroidectomy was performed and the combined histological and immunohistochemical evaluation deemed the nodule compatible with metastasis of CCRC; on 2-year follow-up, no tumor relapse was ascertained.
In patients with a history of cancer, a thyroid nodule, even if hyperfunctioning, must be suspected of being a metastasis and investigated.
Hot nodules, which are largely benign, may be vulnerable to metastatic colonization owing to their rich vascularization.
In these cases, surgery may be curative.
American Psychological Association (APA)
Foppiani, Luca& Massollo, Michela& Del Monte, Patrizia& Bandelloni, Roberto& Arlandini, Anselmo& Piccardo, Arnoldo. 2015. Late-Onset Metastasis of Renal Cell Carcinoma into a Hot Thyroid Nodule: An Uncommon Finding Not to Be Overlooked. Case Reports in Endocrinology،Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1058396
Modern Language Association (MLA)
Foppiani, Luca…[et al.]. Late-Onset Metastasis of Renal Cell Carcinoma into a Hot Thyroid Nodule: An Uncommon Finding Not to Be Overlooked. Case Reports in Endocrinology No. 2015 (2015), pp.1-4.
https://search.emarefa.net/detail/BIM-1058396
American Medical Association (AMA)
Foppiani, Luca& Massollo, Michela& Del Monte, Patrizia& Bandelloni, Roberto& Arlandini, Anselmo& Piccardo, Arnoldo. Late-Onset Metastasis of Renal Cell Carcinoma into a Hot Thyroid Nodule: An Uncommon Finding Not to Be Overlooked. Case Reports in Endocrinology. 2015. Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1058396
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1058396