Journal article
Sacral metastases in a patient with BRAF V600E+papillary thyroid carcinoma
JOURNAL OF SURGICAL CASE REPORTS, v 2023(11), rjad585
03 Nov 2023
PMID: 38026745
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Lack of consensus exists on an algorithm to screen for synchronous distant metastases in patients presenting with papillary thyroid carcinoma (PTC). A 68-year-old male presented with a 3 cm supraclavicular neck mass. Computed tomography (CT) scan revealed a 1.3 cm left thyroid lobe nodule and 3 cm left level 3 and 4 lymphadenopathy. Ultrasound-guided fine needle aspiration was positive for PTC. Patient underwent total thyroidectomy and lymph node dissection with molecular testing confirming BRAF V600E+ PTC. Six weeks post-operatively, he developed left hip pain and numbness. Magnetic resonance imaging (MRI) revealed a large sacral mass and multiple bony lesions confirmed to be osseous metastases. Given the relatively rapid report of hip pain after surgery, metastases were likely synchronous at presentation and may have been detected with earlier suspicion. Further investigation is necessary to systematically stratify risk of synchronous distant metastases in patients with metastatic PTC.
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Details
- Title
- Sacral metastases in a patient with BRAF V600E+papillary thyroid carcinoma
- Publication Details
- JOURNAL OF SURGICAL CASE REPORTS, v 2023(11), rjad585
- Publisher
- OXFORD UNIV PRESS; OXFORD
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Drexel University
- Web of Science ID
- WOS:001100923200003
- Scopus ID
- 2-s2.0-85183298451
- Other Identifier
- 991021861311904721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Surgery