Antecedentes: El carcinoma folicular de tiroides puede producir metástasis a distancia, siendo las localizaciones más habituales el pulmón y el hueso. Las metástasis cerebrales son inusuales, y es poco habitual que aparezcan como primera manifestación de cáncer.
Caso ClÍnico: Paciente varón de 80 años, que tras una caída al suelo comenzó con alteración del comportamiento, desorientación y pérdida del control de esfínteres. La tomografía computarizada cerebral evidenció una masa en el lóbulo frontal derecho. Se realizó la extirpación de la lesión cerebral, cuyo estudio histológico informó de metástasis de carcinoma folicular de tiroides.
ConclusiÓn: La manifestación de la enfermedad con metástasis cerebrales es muy infrecuente, y empeora el pronóstico notablemente.
Background: Follicular thyroid carcinoma can produce distant metastases, generally occur to lung followed by bone. Brain metastases are unusual, and onset manifestation is little frequently.
Clinical Case: A 80-years old men presented disturbance behavior, desorientation and loss of sphincters after fallin to the ground. Computed tomography scan showed a lesion in the right frontal lobe. The patient underwent a craniotomy to remove the brain tumor, histopathology confirmed of follicular thyroid carcinoma metastases.
Conclusion: At initial diagnosis brain metastasis are extremely rare, with adverse prognosis.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.24875/CIRU.18000207 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Serum cholesterol levels are inversely associated with the risk of malignancy in subjects with Bethesda category IV thyroid nodules.
Endocrinol Diabetes Nutr (Engl Ed)
July 2024
Section of Endocrinology and Nutrition, Complejo Hospitalario Universitario Insular Materno-Infantil, Las Palmas de Gran Canaria, Spain; Research Institute in Biomedical and Health Sciences, University of Las Palmas de Gran Canaria, Spain. Electronic address:
Article Synopsis
- Some epidemiological data indicate a potential link between cholesterol levels and thyroid cancer risk, prompting this study to assess lipid profiles in patients with Bethesda category IV thyroid nodules.
- The study involved 204 patients who underwent thyroid surgery and had prior lipid profile testing, comparing those diagnosed with cancer against those with benign conditions.
- Results showed that patients with thyroid cancer had significantly lower total cholesterol, LDL, and non-HDL cholesterol levels, with LDL being the only lipid measure independently associated with malignancy; follicular carcinoma patients had the lowest cholesterol levels.
Effect of non-invasive follicular thyroid neoplasm with papillary-like features (NIFTP) terminology on surgical management concepts.
Rev Esp Patol
April 2023
Surgical Oncology Department, Oncology Center Mansoura University (OCMU), Mansoura, Egypt.
Background: Despite the strict diagnostic criteria recently proposed for non-invasive follicular thyroid neoplasm with papillary-like features (NIFTP), its incidence is still unknown. Employing a retrospective analysis of the follicular variant of papillary thyroid carcinoma (FVPTC), we investigated the diagnosis, prevalence and postoperative course of NIFTP.
Methods: We examined retrospectively the records of 112 patients who had undergone thyroid surgery and had a postoperative diagnosis of FVPTC at our hospital from 2010 to 2021.
An attempt to reduce unnecessary surgical procedures... Can ultrasound characteristics help in differentiating adenoma vs carcinoma in follicular thyroid neoplasms?
Radiologia (Engl Ed)
February 2023
Servicio de Radiología, Hospital Clínico San Carlos, Madrid, Spain.
Introduction And Objectives: Thyroid nodules frequently require ultrasound and Fine Needle Aspiration Cytology (FNAC) evaluation. However, FNA cytology does not allow differentiation between follicular adenoma and carcinoma on Bethesda type IV lesions. This situation leads to many unnecessary surgical procedures because it is not possible to assure the benignity of the lesions, even when most of the specimens correspond to adenomas or even other benign lesions.
View Article and Find Full Text PDFFollicular thyroid carcinoma arising in a struma ovarii and femoral metastasis.
Rev Esp Med Nucl Imagen Mol (Engl Ed)
May 2021
Servicio de Medicina Nuclear, Hospital Meixoeiro (Complejo Hospitalario Universitario de Vigo), Vigo, Pontevedra, España.
Applicability study of a preoperative prediction model for follicular thyroid carcinoma.
Cir Esp (Engl Ed)
May 2021
Unidad de Cirugía Endocrina, Departamento de Cirugía General y Aparato Digestivo, Hospital Universitario Virgen de Valme, Sevilla, España.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!