دورية أكاديمية
Acute paraparesis as presentation of an occult follicular thyroid carcinoma: A case report.
| العنوان: | Acute paraparesis as presentation of an occult follicular thyroid carcinoma: A case report. |
|---|---|
| المؤلفون: | Baião JM; General Surgery Department, Instituto Português de Oncologia de Coimbra Francisco Gentil E.P.E, Av. Bissaya Barreto 98, 3000-075 Coimbra, Portugal. Electronic address: josempbaiao@gmail.com., Guimarães A; General Surgery Department (C), Centro Hospitalar e Universitário de Coimbra (Hospital Geral-Covões), S. Martinho de Bispo, 3041-853 Coimbra, Portugal. Electronic address: andreiahguimaraes@gmail.com., Moreira N; General Surgery Department (C), Centro Hospitalar e Universitário de Coimbra (Hospital Geral-Covões), S. Martinho de Bispo, 3041-853 Coimbra, Portugal. Electronic address: nidia.moreira.22@gmail.com., Correia JG; General Surgery Department, Instituto Português de Oncologia de Coimbra Francisco Gentil E.P.E, Av. Bissaya Barreto 98, 3000-075 Coimbra, Portugal. Electronic address: joaocorreia86@hotmail.com., Rosenvinge CU; General Surgery Department (C), Centro Hospitalar e Universitário de Coimbra (Hospital Geral-Covões), S. Martinho de Bispo, 3041-853 Coimbra, Portugal. Electronic address: rosenvinge75@hotmail.com., Gonçalves D; Internal Medicine Department (BB), Centro Hospitalar e Universitário de Coimbra (Hospital Geral-Covões), S. Martinho de Bispo, 3041-853 Coimbra, Portugal. Electronic address: dianafslg@gmail.com., Calvo MA; Internal Medicine Department (BB), Centro Hospitalar e Universitário de Coimbra (Hospital Geral-Covões), S. Martinho de Bispo, 3041-853 Coimbra, Portugal. Electronic address: merch75@gmail.com. |
| المصدر: | International journal of surgery case reports [Int J Surg Case Rep] 2017 Nov 28; Vol. 41, pp. 498-501. Date of Electronic Publication: 2017 Nov 28 (Print Publication: 2017). |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier B.V Country of Publication: Netherlands NLM ID: 101529872 Publication Model: eCollection Cited Medium: Print ISSN: 2210-2612 (Print) Linking ISSN: 22102612 NLM ISO Abbreviation: Int J Surg Case Rep Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: [Amsterdam] : Elsevier B.V. |
| مستخلص: | Introduction: Follicular thyroid carcinoma is the second most frequent type of well differentiated thyroid tumours. It is usually confined to the thyroid gland, however it can metastasize in a later stage of the disease. Signs and symptoms associated with bone metastasis are rare as first clinical manifestations. Case Report: An 84-year-old female complained with acute paraparesis. Magnetic resonance imaging revealed an extensive intraosseous infiltrating lesion compatible with a bone metastasis from an occult tumour. Biopsy samples were compatible with bone metastasis from a follicular thyroid carcinoma. The patient was submitted to total thyroidectomy followed by iodine ablative therapy. Discussion: Follicular thyroid carcinoma presentation with symptoms related to bone metastasis is rare. Patients with bone lesions, such as pathological fractures or compressive symptoms should be studied since they may have clinically unapparent lesions from an unknown tumour. Patients with FTC should be submitted to total thyroidectomy. Bone lesions may be addressed to improve quality of life however this decision depends on disease extent. Conclusion: Acute paraparesis is a rare form of presentation of thyroid carcinoma. These neoplasms must be taken into account when investigating metastasis to the bone from unknown neoplasms. |
| References: | ScientificWorldJournal. 2014 Mar 04;2014:952095. (PMID: 24741369) J Neurosci Rural Pract. 2014 Apr;5(2):155-9. (PMID: 24966555) Clin Endocrinol (Oxf). 2002 Mar;56(3):377-82. (PMID: 11940050) J Clin Endocrinol Metab. 2006 Aug;91(8):2892-9. (PMID: 16684830) Thyroid. 2016 Jan;26(1):1-133. (PMID: 26462967) Thyroid. 2017 Jun;27(6):751-756. (PMID: 28463585) Case Rep Med. 2012;2012:678935. (PMID: 22431938) Clin Med Oncol. 2008;2:129-34. (PMID: 21892275) Endocr Relat Cancer. 2008 Mar;15(1):37-49. (PMID: 18310274) J Am Coll Surg. 2003 Aug;197(2):191-7. (PMID: 12892796) Clin Orthop Relat Res. 2003 Oct;(415 Suppl):S105-9. (PMID: 14600599) Int J Surg Case Rep. 2014;5(7):408-11. (PMID: 24892246) Int J Surg. 2016 Oct;34:180-186. (PMID: 27613565) J Clin Endocrinol Metab. 2011 Aug;96(8):2296-307. (PMID: 21816796) Oral Oncol. 2017 Sep;72 :188-189. (PMID: 28797457) Ann Surg Oncol. 2016 Feb;23 (2):410-5. (PMID: 26215199) |
| فهرسة مساهمة: | Keywords: Acute paraparesis; Bone metastasis; Case report; Follicular thyroid carcinoma |
| تواريخ الأحداث: | Date Created: 20180317 Latest Revision: 20220316 |
| رمز التحديث: | 20231215 |
| مُعرف محوري في PubMed: | PMC5723273 |
| DOI: | 10.1016/j.ijscr.2017.11.045 |
| PMID: | 29546026 |
| قاعدة البيانات: | MEDLINE |
Full Text via ClinicalKey 
Full Text Finder | تدمد: | 2210-2612 |
|---|---|
| DOI: | 10.1016/j.ijscr.2017.11.045 |