UNVEILING FOLLICULAR THYROID CARCINOMA: A CASE OF EXTENSIVE CHEST WALL METASTASIS

Sana Ansari; Zineb Hassan

doi:10.55640/gjmps-abcd02

Open Access

UNVEILING FOLLICULAR THYROID CARCINOMA: A CASE OF EXTENSIVE CHEST WALL METASTASIS

https://doi.org/10.55640/gjmps-abcd02

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Sana Ansari ¹ , Zineb Hassan ¹ ,

⁴ Department of Endocrinology, Diabetology, Metabolic Diseases and Nutrition Cadi Ayyad University, Mohammed VI University Hospital, Marrakech, Morocco

Abstract

Follicular thyroid carcinoma (FTC) typically presents with distant metastases, commonly involving the lungs and bones. However, extensive chest wall metastasis as the initial presentation of FTC is rare and poses diagnostic and therapeutic challenges. Here, we report a case of extensive chest wall metastasis revealing FTC in a 54-year-old female patient. The patient presented with a rapidly growing chest wall mass associated with pain and discomfort. Imaging studies revealed multiple lytic lesions involving the ribs and sternum. Fine-needle aspiration cytology (FNAC) of the chest wall mass confirmed the diagnosis of FTC. The patient underwent total thyroidectomy followed by adjuvant radioiodine therapy. Despite aggressive management, the disease progressed rapidly, highlighting the aggressive behavior of FTC with chest wall involvement. This case underscores the importance of considering FTC in the differential diagnosis of chest wall masses and the need for comprehensive staging and management strategies in such cases.

Keywords

Follicular thyroid carcinoma, Chest wall metastasis, Case report

References

📄 Nayak SR, Soren DK, Mishra A et al.Occult Follicular Thyroid Carcinoma Presenting As Chest Wall Swelling -A Case Report. The Internet Journal of Endocrinology. 2013 Volume 8 Number 1.

📄 Kara M, Akgul T, Yegen G, Aksakal N. Late Onset of an Overlooked Follicular Thyroid Carcinoma Presenting as a Chest Wall Tumor 10 Years Following Thyroidectomy.AACE Clin Case Rep. 2021;7(4):268-272. Published 2021 Mar 5.

📄 Batta R, Njoum Y, Deek R, Awad F, Bakri IA, Maree M. Follicular thyroid carcinoma with sternal metastasis: A case report.Int J Surg Case Rep. 2023;109:108625.

📄 Helmi H; Idrees H; Alshehri A; et al (2017).Rare behavior of follicular variant of papillary thyroid cancer. Clinical Case Reports, 5(11), 1789–1792.

📄 Saijo H, Kitamura Y, Takenaka H, et al. Occult Thyroid Follicular Carcinoma Diagnosed as Metastasis to the Chest Wall.Intern Med. 2017;56(15):2033-2037.

📄 Nawarathna, Nj. (2014). Thoracic Wall Metastasis from an Occult Thyroid Follicular Carcinoma. Journal of Thyroid Disorders & Therapy. 04.

📄 Fan JJ, Chen Q. Chest wall metastasis in postoperative thyroid cancer: a case report.J Int Med Res. 2019;47(8):4039-4042. doi:10.1177/0300060519862455

📄 Srinivasan A, Iliescu G, Chowdhuri SR, Grosu HB. Follicular Thyroid Carcinoma Presenting as a Large Rib Metastasis.J Bronchology Interv Pulmonol. 2019;26(4):e67-e68.

📄 Estévez-Ramírez M, Mejía-Sandoval J, Saavedra Alfredo, et al. Prevalence of Thoracic Metastases in Patients with Thyroid Cancer at the National Cancer Institute between 2016 and 2019 in Bogotá, Colombia. Rev Am Med Resp 2023;23:161-167

📄 Boucek J, Kastner J, Skrivan J, Grosso E, Gibelli B, et al. (2009) Occult thyroid carcinoma. ActaOtorhinolaryngolItal 29: 296-304.

How to Cite

UNVEILING FOLLICULAR THYROID CARCINOMA: A CASE OF EXTENSIVE CHEST WALL METASTASIS. (2023). Global Journal of Medical and Pharmaceutical Sciences, 2(01), 01-06. https://doi.org/10.55640/gjmps-abcd02