A Papillary Thyroid Microcarcinoma Revealed by a Single Bone Lesion with No Poor Prognostic Factors
Joint Authors
Soubeyran, Isabelle
Bonichon, Francoise
Carrat, Xavier
Henriques-Figueiredo, Benedicte
Godbert, Yann
Stegen, Marc
Cazeau, Anne-Laure
Source
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-02-20
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Objectives.
Thyroid carcinomas incidence, in particular papillary variants, is increasing.
These cancers are generally considered to have excellent prognosis, and papillary microcarcinomas are usually noninvasive.
Many prognostic histopathology factors have been described to guide therapeutic decisions.
Most patients are treated with total thyroidectomy without radioiodine treatment or partial surgery.
Case Summary.
A 65-year-old man with no significant medical history presented with pain in the left chest wall that had been present for several months.
A computed tomography (CT) found a large tissue mass of 4 cm responsible for lysis of the middle arch of the 4th rib on the left.
It was a single lesion, highly hypermetabolic on the 18-FDG PET/CT.
The histology analysis of the biopsy and surgical specimen favored an adenocarcinoma with immunostaining positive for TTF1 and thyroglobulin (Tg).
The total thyroidectomy carried out subsequently revealed a 4 mm papillary microcarcinoma with vesicular architecture of the right lobe, well delimited and distant from the capsule without vascular embolisms.
After two radioiodine treatments, the patient is in complete clinical, biological, and radiological remission.
Conclusion.
This extremely rare case of a singular bone metastasis revealing a papillary thyroid microcarcinoma illustrates the necessity of further research to better characterize the forms of papillary thyroid microcarcinomas with potentially poor prognosis.
American Psychological Association (APA)
Godbert, Yann& Henriques-Figueiredo, Benedicte& Cazeau, Anne-Laure& Carrat, Xavier& Stegen, Marc& Soubeyran, Isabelle…[et al.]. 2013. A Papillary Thyroid Microcarcinoma Revealed by a Single Bone Lesion with No Poor Prognostic Factors. Case Reports in Endocrinology،Vol. 2013, no. 2013, pp.1-4.
https://search.emarefa.net/detail/BIM-493153
Modern Language Association (MLA)
Godbert, Yann…[et al.]. A Papillary Thyroid Microcarcinoma Revealed by a Single Bone Lesion with No Poor Prognostic Factors. Case Reports in Endocrinology No. 2013 (2013), pp.1-4.
https://search.emarefa.net/detail/BIM-493153
American Medical Association (AMA)
Godbert, Yann& Henriques-Figueiredo, Benedicte& Cazeau, Anne-Laure& Carrat, Xavier& Stegen, Marc& Soubeyran, Isabelle…[et al.]. A Papillary Thyroid Microcarcinoma Revealed by a Single Bone Lesion with No Poor Prognostic Factors. Case Reports in Endocrinology. 2013. Vol. 2013, no. 2013, pp.1-4.
https://search.emarefa.net/detail/BIM-493153
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-493153