Lytic skull metastasis from a follicular thyroid carcinoma in a child.
We present a case of solitary lytic skull metastasis from a follicular thyroid carcinoma in a child. Salient clinical features, radiological findings, and histological distinctions of the metastatic skull tumor are described. Excision of the skull tumor followed by total thyroidectomy and (131)I-radioablation therapy has resulted in good short-term outcome. This is the first published report of a metastatic skull lesion from a follicular thyroid carcinoma in a child. Such a malignant lesion can radiologically mimic a benign skull tumor and should be considered in the differential diagnosis of a solitary lytic skull lesion with a sclerotic margin.
Division of Neurosurgery, Children's Hospital, The Ohio State University Hospitals, Columbus 43210, USA. Kim.588@osu.edu
S H
SH
Kim
E
E
Kosnik
C
C
Madden
S
S
Morran
J
J
Rusin
T
T
Gordon
D
D
Boue
D018263:Adenocarcinoma, Follicular / Q000473:pathology* / Q000532:radiotherapy / Q000601:surgery; D017668:Age of Onset; D002648:Child; D003131:Combined Modality Therapy; D003937:Diagnosis, Differential; D006801:Humans; D007457:Iodine Radioisotopes / Q000627:therapeutic use; D008297:Male; D009361:Neoplasm Invasiveness; D011379:Prognosis; D011859:Radiography; D012886:Skull / Q000473:pathology*; D012888:Skull Neoplasms / Q000473:pathology / Q000556:secondary*; D013961:Thyroid Gland / Q000473:pathology / Q000601:surgery; D013964:Thyroid Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D013965:Thyroidectomy
D007457:Iodine Radioisotopes