A chest wall resection plus right upper lobectomy and lymph node dissection was performed as the first choice for PTC metastasis.
📌 3 Key Takeaways
🎯
Objective & Hypothesis:Pulmonary metastases of papillary thyroid carcinoma (PTC) is rare and generally present as a micronodular or a miliary pattern. Herein we present a single giant chest wall metastasis of PTC that caused mediastinal shift which was not reported in the literature.
📊
Key Findings & Data:A 67 year old female patient admitted to the hospital due to shortness of breath.
💡
Conclusion & Impact:A chest wall resection plus right upper lobectomy and lymph node dissection was performed as the first choice for PTC metastasis.
Pulmonary metastases of papillary thyroid carcinoma (PTC) is rare and generally present as a micronodular or a miliary pattern. Herein we present a single giant chest wall metastasis of PTC that caused mediastinal shift which was not reported in the literature. A 67 year old female patient admitted to the hospital due to shortness of breath. A right sided mass on the chest wall and thyroid nodules were detected. PTC was diagnosed and the patient underwent a total thyroidectomy. pT3N0 were evaluated postoperatively. PET-CT demonstrated the mass at right hemithorax (12 cm lesion, SUV max=7.2) plus needle biopsy showed a metastasis of PTC. A chest wall resection plus right upper lobectomy and lymph node dissection was performed as the first choice for PTC metastasis.
Karapınar, K., Kocatürk, C. İ., Kutluk, A. C., Ören, N. (2017). Isolated giant chest wall metastasis of papillary thyroid carcinoma; case report. CURRENT THORACIC SURGERY, Cilt: 2 Sayı: 1, 23–26. https://ajindex.com/articles/984618
Stern EJ, Swensen SJ, Kanne JP. High-resolution CT of the Chest, 3rd Ed: Wolters Kluwer, Philadelphia PA; 2010.
Kaseda K, Watanabe K, Sakamaki H, Kazama A. Solitary pulmonary metastasis from occult papillary thyroid carcinoma. Thoracic Cancer 2016; 7: 261-3.
Sherma SI. Thyroid carcinoma. The Lancet 2003; 361: 501-11.
Kim M, Ladenson PW: Thyroid. In: Goldman L, Schafer AI (eds). Goldman-Cecil Medicine, 25th Ed. Philadelphia PA: Elseiver; 2016:1513.
Tubiana M, Schlumberger M, Rougier P, Laplanche A, Benhamou E, Gardet P, et al. Long-term results and prognostic factors in patient with differentiated thyroid carcinoma. Cancer 1985; 55: 794-804.
Muresan MM, Olivier P, Leclère J, Sirveaux F, Brunaud L, Klein M, et al. Bone metastases from differentiated thyroid carcinoma. Endocr Relat Cancer 2008; 15: 37-49.
Kaya M, Cermik TF. Tc-99m MIBI scintigraphy in tall cell variant of papillary thyroid carcinoma with negative radioiodine scan. Clin Nucl Med 2008; 33: 615-8.
Li S, Zhang F, Zhang Y, Liang Y, Qi X, Yang X, Jiang J. Implantation at sternocleidomastoid and chest wall after endoscopic thyroid carcinoma surgery. Surg Laparosc Endosc Percutan Tech 2012; 22: 239-42.
Nakada K, Kasai K, Watanabe Y, Katoh C, Kanegae K, Tsukamoto E, et al. Treatment of radioiodine-negative bone metastasis from papillary thyroid carcinoma with percutaneous ethanol injection therapy. Ann Nucl Med 1996; 10: 441-4.
Karamustafaoglu YA, Yoruk Y, Angın G, Tarladacalısır T, Mammedov R. Chest Wall Distant Metastases of Thyroid Carcinoma. Trakya Univ Tip Fak Derg 2009; 26: 338-341.
Kaseda K, Watanabe K, Sakamaki H, Kazama A. Solitary pulmonary metastasis from occult papillary thyroid carcinoma. Thoracic Cancer 2016; 7: 261-3.