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Giant sternal metastasis secondary to follicular carcinoma of the thyroid gland: report of a case.
Moraitis, Sotirios; Perelas, Apostolos; Toufektzian, Levon; Mazarakis, Nikolaos; Pechlivanides, Georgios.
Afiliação
  • Moraitis S; Department of Thoracic Surgery, Athens Naval and Veterans Hospital, Athens, Greece.
Surg Today ; 42(9): 895-8, 2012 Sep.
Article em En | MEDLINE | ID: mdl-22576227
A 70-year-old woman was admitted to our department for investigation and treatment of a progressively enlarging multinodular goiter and a fast growing mass infiltrating the sternum. The patient was euthyroid, but computed tomography (CT) and ultrasonography showed a mass in the anterior mediastinum infiltrating the sternum, with a dominant nodule in the right lobe of the thyroid. Fine needle aspiration biopsy results from both the cervical and the mediastinal masses were suggestive of follicular thyroid carcinoma. The patient underwent total thyroidectomy, thymectomy, and total removal of the mass, along with parts of the sternum, sternocleidomastoid muscle, and attached ribs. The thoracic wall was reconstructed with gortex dual mesh covered by muscle flaps from both pectoralis major muscles. Pathological analysis of both masses confirmed the fine needle aspiration findings and the patient received three cycles of radioactive iodine treatment. She had an uneventful postoperative course, but died of a stroke 8 years later.
Assuntos

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Esterno / Neoplasias Ósseas / Neoplasias da Glândula Tireoide / Adenocarcinoma Folicular Limite: Aged / Female / Humans Idioma: En Ano de publicação: 2012 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Esterno / Neoplasias Ósseas / Neoplasias da Glândula Tireoide / Adenocarcinoma Folicular Limite: Aged / Female / Humans Idioma: En Ano de publicação: 2012 Tipo de documento: Article