[Multi-modality therapy concept in metastatic follicular thyroid carcinoma with hyperthyroidism].
The coincidence of hyperthyroidism and thyroid carcinoma seldom occurs. Only few reports on functionally metastases of thyroid carcinoma have been published. We report a 59-year-old man who underwent subtotal thyroidectomy for toxic nodular goiter. Histological examination revealed a follicular thyroid carcinoma. After thyroidectomy and cervical lymphadenectomy the patient developed a strong hyperthyreosis. Scintigraphy showed strong radioiodine uptake in the sacrum. De-bulking resection of the metastasis followed by high-dose radioiodine treatment was performed. After radioiodine therapy the patient became euthyroid. Treatment of hyperthyreosis in metastatic thyroid cancer requires a multimodal therapeutic concept.
Klinik für Allgemeinchirurgie, Martin-Luther-Universität Halle-Wittenberg.
M
M
Brauckhoff
K
K
Dorsch
J
J
Hädecke
C
C
Kujat
F
F
Straube
U
U
Krause
H
H
Dralle
D018263:Adenocarcinoma, Follicular / Q000473:pathology / Q000532:radiotherapy / Q000556:secondary* / Q000601:surgery; D003131:Combined Modality Therapy; D003952:Diagnostic Imaging; D006801:Humans; D006980:Hyperthyroidism / Q000473:pathology / Q000532:radiotherapy / Q000601:surgery*; D007457:Iodine Radioisotopes / Q000627:therapeutic use; D008197:Lymph Node Excision; D008297:Male; D008875:Middle Aged; D018714:Radiotherapy, Adjuvant; D012447:Sacrum / Q000473:pathology / Q000528:radiation effects / Q000601:surgery*; D013125:Spinal Neoplasms / Q000473:pathology / Q000532:radiotherapy / Q000556:secondary* / Q000601:surgery; D013961:Thyroid Gland / Q000473:pathology; D013964:Thyroid Neoplasms / Q000473:pathology / Q000532:radiotherapy / Q000601:surgery*; D013965:Thyroidectomy
D007457:Iodine Radioisotopes