Τίτλος:
Giant sternal metastasis secondary to follicular carcinoma of the thyroid gland: Report of a case
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
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. © Springer 2012.
Συγγραφείς:
Moraitis, S.
Perelas, A.
Toufektzian, L.
Mazarakis, N.
Pechlivanides, G.
Περιοδικό:
Cataract & Refractive Surgery Today
Λέξεις-κλειδιά:
iodine 131; liothyronine; thyrotropin; thyroxine, aged; article; aspiration biopsy; bone metastasis; cancer infiltration; cancer surgery; case report; computer assisted tomography; disease course; echography; euthyroidism; female; frozen section; histopathology; hospital admission; hospital discharge; human; human tissue; liothyronine blood level; nodular goiter; osteoporosis; physical examination; spine disease; sternocleidomastoid muscle; sternum; stroke; thorax radiography; thymectomy; thyroid follicular carcinoma; thyroidectomy; thyrotropin blood level; thyroxine blood level; unspecified side effect; whole body scintiscanning, Adenocarcinoma, Follicular; Aged; Bone Neoplasms; Female; Humans; Sternum; Thyroid Neoplasms
DOI:
10.1007/s00595-012-0192-y
