title: Pancreatic metastasis of papillary thyroid carcinoma: a case report with review of the literature.
abstract: In this article we give a case report on a PTC patient with pancreatic metastasis. In this case, the patient was admitted to our hospital for recurrence of PTC and occupying pancreatic lesions. We considered that the pancreatic neoplasm may be pancreatic metastasis of PTC but there is no previous experience about therapeutic approaches to this type of metastases. After some discussion the distant metastasis within the pancreas was successfully removed by a laparotomy and postoperative histology confirmed the diagnosis. After that surgery, the patient recovered well and then received total thyroidectomy and cervical lymph node dissection for recurrent thyroid cancer. After recovery he was discharged from hospital without further treatment. Eventually, he died of acute myocardial infarction in January 2010. To conclude, it is widely believed that the surgical operation should be chosen more positively in the management of those patients without multiple organ metastases. Thus on one hand it can serve to make a definite diagnosis, and on the other hand it can help the body get rid of the bulk of the tumor burden to prolong survival time of the patients.
authors.affiliation: Department of General Surgery, The 306 Hospital of PLA Beijing, PR China.
authors.forename: Xiao-Ou
authors.initials: XO
authors.lastname: Li
authors.affiliation: Department of General Surgery, The 306 Hospital of PLA Beijing, PR China.
authors.forename: Zheng-Peng
authors.initials: ZP
authors.lastname: Li
authors.affiliation: Department of General Surgery, The 306 Hospital of PLA Beijing, PR China.
authors.forename: Ping
authors.initials: P
authors.lastname: Wang
authors.affiliation: Department of General Surgery, The 306 Hospital of PLA Beijing, PR China.
authors.forename: Cheng-Lin
authors.initials: CL
authors.lastname: Li
authors.affiliation: Department of Pathology, The 306 Hospital of PLA Beijing, PR China.
authors.forename: Ji-Hua
authors.initials: JH
authors.lastname: Wu
authors.affiliation: Department of Pathology, The 306 Hospital of PLA Beijing, PR China.
authors.forename: Jian-Zhong
authors.initials: JZ
authors.lastname: Zhang
authors.affiliation: Department of General Surgery, The 306 Hospital of PLA Beijing, PR China.
authors.forename: Yan
authors.initials: Y
authors.lastname: Cui
mesh_terms: D000368:Aged; D014408:Biomarkers, Tumor / Q000032:analysis; D001706:Biopsy; D002277:Carcinoma / Q000737:chemistry / Q000556:secondary* / Q000601:surgery; D002291:Carcinoma, Papillary; D006801:Humans; D007150:Immunohistochemistry; D008197:Lymph Node Excision; D008207:Lymphatic Metastasis; D008297:Male; D009364:Neoplasm Recurrence, Local; D010180:Pancreatectomy; D010190:Pancreatic Neoplasms / Q000737:chemistry / Q000556:secondary* / Q000601:surgery; D000077273:Thyroid Cancer, Papillary; D013964:Thyroid Neoplasms / Q000737:chemistry / Q000473:pathology* / Q000601:surgery; D013965:Thyroidectomy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D014408:Biomarkers, Tumor
keywords: Papillary thyroid carcinoma; pancreatic metastasis