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