Isolated skeletal muscle metastatic deposit in a patient with micropapillary carcinoma thyroid identified by 18F FDG PET CT
Joint Authors
Subramanyam, Padma
Sarma, Manjit
Sonik, Bhavya
Sundaram, Palaniswamy Shanmuga
Source
Journal of the Egyptian National Cancer Institute
Issue
Vol. 27, Issue 1 (31 Mar. 2015), pp.47-50, 4 p.
Publisher
Cairo University National Cancer Institute
Publication Date
2015-03-31
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Topics
Abstract EN
Micropapillary carcinoma of thyroid is said to be low risk differentiated thyroid malignancy with excellent prognosis.
We report the identification of an isolated FDG avid muscle deposit in a treated case of micropapillary carcinoma of the right lobe and widely invasive follicular carcinoma of the left lobe thyroid gland.
Patient was found to have an elevated thyroglobulin level with negative iodine scan (TENIS syndrome) on follow up at 6 months.
An 18F FDG PET CT (18 fluorine- fluorodeoxyglucose positron emission computed tomography) whole body study revealed a solitary FDG avid deltoid muscle deposit which was histopathologically confirmed to be metastatic papillary carcinoma.
While follicular carcinoma is known to have distant metastases, this may be the first reported case of solitary skeletal metastases from micropapillary carcinoma of thyroid and probably the second reported skeletal muscle deposit from DTC detected on 18F FDG PET CT done following elevated thyroglobulin level and negative 131 iodine WB scan (TENIS).
This case also assumes importance because it demonstrates possibility of metastases even from a micropapillary carcinoma in contrast to American Thyroid Association guidelines (2009) which suggests that micropapillary carcinoma of thyroid does not merit further treatment after a Total Thyroidectomy.
American Psychological Association (APA)
Sarma, Manjit& Sonik, Bhavya& Subramanyam, Padma& Sundaram, Palaniswamy Shanmuga. 2015. Isolated skeletal muscle metastatic deposit in a patient with micropapillary carcinoma thyroid identified by 18F FDG PET CT. Journal of the Egyptian National Cancer Institute،Vol. 27, no. 1, pp.47-50.
https://search.emarefa.net/detail/BIM-544573
Modern Language Association (MLA)
Subramanyam, Padma…[et al.]. Isolated skeletal muscle metastatic deposit in a patient with micropapillary carcinoma thyroid identified by 18F FDG PET CT. Journal of the Egyptian National Cancer Institute Vol. 27, no. 1 (Mar. 2015), pp.47-50.
https://search.emarefa.net/detail/BIM-544573
American Medical Association (AMA)
Sarma, Manjit& Sonik, Bhavya& Subramanyam, Padma& Sundaram, Palaniswamy Shanmuga. Isolated skeletal muscle metastatic deposit in a patient with micropapillary carcinoma thyroid identified by 18F FDG PET CT. Journal of the Egyptian National Cancer Institute. 2015. Vol. 27, no. 1, pp.47-50.
https://search.emarefa.net/detail/BIM-544573
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 50
Record ID
BIM-544573