A patient presenting with spinal cord compression who had two distinct follicular cell type thyroid carcinomas.
A 61-yr-old woman presented with complaints of weakness and pain in her legs. A magnetic resonance imaging showed a 3 x 5.6 x 7.8 cm mass lesion destructing the T1 and T2 vertebral bodies and compressing the spinal cord. The mass was excised surgically. It was follicular carcinoma metastasis of the cervicodorsal region. Then, she underwent a total thyroidectomy. Pathological examination showed two different types of carcinomas in two different focuses; follicular carcinoma in the left lobe and follicular variant papillary carcinoma in the isthmic lobe. After the operation she was given 100 mCi 131I. This is the first report of a patient who had both metastatic follicular carcinoma and follicular variant papillary carcinoma together.
Koca
E
E
Department of Internal Medicine, Hacettepe University, Ankara, Turkey. ekoca@hacettepe.edu.tr
Sokmensuer
C
C
Yildiz
B O
BO
Engin
H
H
Bozkurt
M F
MF
Aras
T
T
Barista
I
I
Gurlek
A
A
D018263:Adenocarcinoma, Follicular / Q000150:complications* / Q000473:pathology / Q000601:surgery*; D000231:Adenocarcinoma, Papillary / Q000150:complications* / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D007457:Iodine Radioisotopes / Q000627:therapeutic use; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D013117:Spinal Cord Compression / Q000209:etiology*; D013964:Thyroid Neoplasms / Q000150:complications* / Q000473:pathology / Q000601:surgery*; D013965:Thyroidectomy
D007457:Iodine Radioisotopes
Am J Clin Pathol. 2002 Jan;117(1):16-8
11791591
Cancer. 1975 Aug;36(2):590-4
1157021
Am J Clin Pathol. 2002 Jan;117(1):19-21
11789725
Mayo Clin Proc. 1991 Jan;66(1):11-22
1988751
Endocrinol Metab Clin North Am. 1997 Mar;26(1):189-218
9074859
CA Cancer J Clin. 1998 Jan-Feb;48(1):31-48
9449932
Ann Otol Rhinol Laryngol. 1988 Jul-Aug;97(4 Pt 1):393-6
3408115
Neurology. 1959 Feb;9(2):91-106
13622902
Endocrinol Metab Clin North Am. 1995 Dec;24(4):761-801
8608779
Mayo Clin Proc. 1986 Dec;61(12):978-96
3773569