Acta Scientific Orthopaedics (ISSN: 2581-8635)

Case Report Volume 3 Issue 5

Metastatic Follicular Thyroid Carcinoma to the Dorsal Spine Presenting as Early Manifestation: Case Report

Romit Agrawal*, Ayush Sharma, Vijay Singh, Nilesh Mangale and Ajay Jaiswal

Department of Orthopaedic Surgery, Dr B.R Ambedkar Central Railway Hospital, Byculla, Mumbai, India

*Corresponding Author: Romit Agrawal, Department of Orthopaedic Surgery, Dr B.R Ambedkar Central Railway Hospital, Byculla, Mumbai, India.

Received: March 25, 2020; Published: April 10, 2020

×

Abstract

 Follicular thyroid carcinoma (FTC) patients are rarely present with spinal metastasis as an early manifestation. Here we present a 56 year old non ambulatory female with paraparesis of both lower limbs which was progressed over last 3 months. Spinal MRI and CT scan revealed D7 thoracic spine intramedullary lesion probably of thyroid origin which was confirmed on USG and FNAC later on. The aim of surgery was decompression of spinal cord and histological evaluation of the tumour. Surgery in the form of spinal mass excision and posterior spinal decompression and fixation two levels above and below was done and then adjuvant chemotherapy was given. Hence patients presenting with spinal tumour must always be screened for thyroid carcinoma as a differential diagnosis. Prognosis is quite well in such patients post decompression.

Keywords: Follicular Type Thyroid Carcinoma; Spinal Metastasis; Spinal Tumour

×

References

  1. Carhill AA., et al. “Durable effect of radioactive iodine in a patient with metastatic follicular thyroid carcinoma”. Endocrinology (2012): 231912.
  2. McNeely MF., et al. “Follicular thyroid carcinoma presenting as acute cord compression due to thoracic vertebral metastasis”. Radiology Case Reports 7 (2012): 1-4.
  3. Pacini F., et al. “European consensus for the management of patients with differentiated thyroid carcinoma of the follicular epithelium”. European Journal of Endocrinology 6 (2006): 787-803.
  4. Laufer I., et al. “Surgical management of metastatic spinal tumors”. Cancer Control2 (2012): 122-128.
  5. Gasbarrini A., et al. “Spinal metastases: treatment evaluation algorithm”. European Review for Medical and Pharmacological Sciences 6 (2004): 265-274.
  6. Hsiao FC., et al. “Metastatic spinal cord compression as initial presentation of occult follicular thyroid carcinoma”. Journal of Medical Sciences 28 (2008): 89-94.
  7. Kim DK., et al. “Spinal cord compression as initial presentation of follicular thyroid carcinoma”. Journal of Korean Neurosurgical Society4 (2007): 269-271.
  8. Robbins J., et al. “Thyroid cancer: a lethal endocrine neoplasm”. Annals of Internal Medicine 2 (1991): 133-147.
  9. Marcocci C., et al. “Clinical and biologic behavior of bone metastases from differentiated thyroid carcinoma”. Surgery6 (1989): 960-966.
  10. Burrow GN. “The thyroid nodules and neoplasia”. Endocrinology and Metabolism. New York: McGraw-Hill (1995) 521-553.
  11. Pomorski L and Bartos M. “Metastasis as the first sign of thyroid cancer”. Neoplasma5 (1999): 309-312.
  12. Kim DH., et al. “Thyroid cancer initially presenting compression fracture without common thyroid symptoms”. Annals of Rehabilitation Medicine 5 (2012): 735-738.
  13. Shaha AR., et al. “Differentiated thyroid cancer presenting initially with distant metastasis”. American Journal of Surgery 5 (1997): 474-476.
  14. Kushchayeva YS., et al. “Current treatment modalities for spinal metastases secondary to thyroid carcinoma”. Thyroid 10 (2014): 1443-1455.
  15. Chander A., et al. “Surgical management of follicular carcinoma of thyroid with spinal metastasis”. International Surgery Journal 4 (2015): 599-603.
  16. Sellin JN., et al. “Factors affecting survival in 43 consecutive patients after surgery for spinal metastases from thyroid carcinoma”. Journal of Neurosurgery: Spine 4 (2015): 419-428.
  17. Stojadinovic A., et al. “The role of operations for distantly metastatic well-differentiated thyroid carcinoma”. Surgery 6 (2002): 636-643.
  18. Proye CA., et al. “Is it still worthwhile to treat bone metastases from differentiated thyroid carcinoma with radioactive iodine?” World Journal of Surgery 4 (1992): 640-645.
×

Citation

Citation: Romit Agrawal., et al. “Metastatic Follicular Thyroid Carcinoma to the Dorsal Spine Presenting as Early Manifestation: Case Report" Acta Scientific Orthopaedics 3.5 (2020): 19-22.




Metrics

Acceptance rate33%
Acceptance to publication20-30 days

Indexed In



News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is May 30, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.

Contact US