Lytic skull metastasis secondary to thyroid carcinoma in an adolescent.
Hong Kong Med J
; 8(2): 149-51, 2002 Apr.
Article
em En
| MEDLINE
| ID: mdl-11937672
ABSTRACT
We report an unusual case of skull metastasis secondary to thyroid carcinoma in an adolescent girl. The 18-year-old presented with an occipital scalp swelling of 5 years' duration. She reported having thyroid surgery in mainland China 10 years previously. Radiological investigations on presentation demonstrated a lytic hypervascular skull lesion. Preoperative angiography and embolisation was followed by surgical excision. Pathological examination showed the lesion to be a thyroid carcinoma with a predominantly follicular pattern and a completion hemithyroidectomy was subsequently performed. Computed tomography of the thorax showed small micronodules in both lung fields compatible with metastases. The patient was given whole body iodine-131 internal radiation treatment and subsequently commenced thyroid-stimulating hormone-suppressive treatment with thyroxine. The management of thyroid carcinoma and subsequent skull metastasis in children and adolescents is reviewed and controversial points are highlighted.
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Base de dados:
MEDLINE
Assunto principal:
Neoplasias Cranianas
/
Neoplasias da Glândula Tireoide
/
Adenocarcinoma Folicular
/
Neoplasias Pulmonares
Idioma:
En
Ano de publicação:
2002
Tipo de documento:
Article