Solitary adrenal gland metastasis of a follicular thyroid carcinoma presenting with hyperthyroidism.
Follicular thyroid carcinoma typically manifests under euthyroid conditions, and diagnostic scintigraphy usually identifies a cold nodule. Sometimes, such tumors can appear in the context of hyperthyroidism, which can be caused by a toxic multinodular goitre, a toxic adenoma, or even carcinoma. We report a case of follicular thyroid carcinoma discovered after surgical treatment of a toxic multinodular goiter, in which solitary adrenal gland metastasis was detected five years later. A (131)I whole body scan is the diagnostic method of choice for functioning thyroid metastasis.
Yunta
P J
PJ
Service de Chirurgie, Hôpital Universitaire, La Fe, Avda. Campanar 21, 46009 Valencia, Espagne.
Ponce
J L
JL
Prieto
M
M
López-Aznar
D
D
Sancho-Fornos
S
S
D018263:Adenocarcinoma, Follicular / Q000175:diagnosis* / Q000556:secondary* / Q000601:surgery; D000310:Adrenal Gland Neoplasms / Q000175:diagnosis / Q000556:secondary* / Q000601:surgery; D003937:Diagnosis, Differential; D006044:Goiter, Nodular; D006801:Humans; D006980:Hyperthyroidism; D007150:Immunohistochemistry; D007457:Iodine Radioisotopes; D008197:Lymph Node Excision; D008297:Male; D008875:Middle Aged; D013954:Thyroglobulin / Q000032:analysis / Q000097:blood; D013964:Thyroid Neoplasms / Q000175:diagnosis* / Q000601:surgery; D013965:Thyroidectomy; D013972:Thyrotropin / Q000097:blood; D013974:Thyroxine / Q000097:blood; D014284:Triiodothyronine / Q000097:blood
D007457:Iodine Radioisotopes; D014284:Triiodothyronine; D013972:Thyrotropin; D013954:Thyroglobulin; D013974:Thyroxine