title: Thyroid Cancer Initially Presenting Compression Fracture without Common Thyroid Symptoms.
abstract: Thyroid carcinoma is the commonest endocrinological malignancy. After papillary thyroid carcinoma (PTC), follicular thyroid carcinoma (FTC) is the second most common histological subtype. Common presentations of FTC include a solitary thyroid nodule and cervical lymphadenopathy. The incidence of individuals diagnosed with thyroid cancer showing initially distant metastatic disease ranges from 1 to 9%. Also, the incidence of solitary bone metastasis from thyroid is only 2 to 3%. We report a case of a patient with FTC whose initial presentation was low back pain and right buttock pain due to vertebral metastasis rather than the usual neck lumps or symptoms of thyroid disease.
authors.affiliation: Department of Physical Medicine and Rehabilitation, College of Medicine, Kyung Hee University, Seoul 130-701, Korea.
authors.forename: Dong Hwan
authors.initials: DH
authors.lastname: Kim
authors.forename: Seung Don
authors.initials: SD
authors.lastname: Yoo
authors.forename: Sung Min
authors.initials: SM
authors.lastname: Kim
authors.forename: Sung Jig
authors.initials: SJ
authors.lastname: Im
authors.forename: Jin Kyu
authors.initials: JK
authors.lastname: Kang
authors.forename: Eun Hye
authors.initials: EH
authors.lastname: Cho