Unexpected Bone Metastases from Thyroid Cancer
Joint Authors
Shuja, Sania
Gibiezaite, Sandra
Ozdemir, Savas
McCook, Barry
Plazarte, Monica
Sheikh-Ali, Mae
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-07-05
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Objective.
To present a complicated case of differentiated thyroid carcinoma (DTC) with metastases to the skull that was evident on I-131 whole body scan (WBS) but negative on other imaging modalities in a low risk patient.
Methods.
We will discuss clinical course, imaging, pathological findings, and treatment of the patient with skull metastasis from DTC.
Pertinent literature on imaging and pathology findings as well as radioactive iodine (RAI) treatment impact on quality of life and survival in patients with bone metastases from DTC will be reviewed.
Results.
The patient is a 37-year-old woman with a diagnosis of DTC who had focal areas of increased uptake in the head on WBS with no correlative findings on CT and MRI.
Initially, false positive findings were suspected since patient had a low risk for developing metastases.
However, the persistent findings on post-RAI treatment WBS, following two courses of treatment, were highly concerning for metastatic bone disease.
WBC performed 6 months following the second RAI treatment revealed resolution of the findings.
Conclusions.
False positive findings in WBS are frequent and may be due to contamination, perspiration, or folliculitis of the scalp as well as benign lesions such as meningioma, hematoma, cavernous angioma, and metallic sutures.
However, metastatic disease should always be considered even if the patient has low risk of distant metastatic disease and correlative images do not support the diagnosis.
RAI therapy appears to improve the survival rates and quality of life of thyroid cancer patients with bone metastases based on retrospective studies.
American Psychological Association (APA)
Gibiezaite, Sandra& Ozdemir, Savas& Shuja, Sania& McCook, Barry& Plazarte, Monica& Sheikh-Ali, Mae. 2015. Unexpected Bone Metastases from Thyroid Cancer. Case Reports in Endocrinology،Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1058403
Modern Language Association (MLA)
Gibiezaite, Sandra…[et al.]. Unexpected Bone Metastases from Thyroid Cancer. Case Reports in Endocrinology No. 2015 (2015), pp.1-4.
https://search.emarefa.net/detail/BIM-1058403
American Medical Association (AMA)
Gibiezaite, Sandra& Ozdemir, Savas& Shuja, Sania& McCook, Barry& Plazarte, Monica& Sheikh-Ali, Mae. Unexpected Bone Metastases from Thyroid Cancer. Case Reports in Endocrinology. 2015. Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1058403
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1058403