Piplani Sanjay, Mannan Rahul, Bhasin Tejinder Singh, Manjari Mridu, Gill Karamjit Singh
Associate Professor, Department of Pathology, SGRDIMS & R , Amritsar, Punjab, India .
Professor, Department of Pathology, SGRDIMS & R , Amritsar, Punjab, India .
J Clin Diagn Res. 2014 Jul;8(7):FD05-6. doi: 10.7860/JCDR/2014/8781.4551. Epub 2014 Jul 20.
Distant metastasis of thyroid neoplasm as an initial presentation is rarely encountered. The present case report describes a chance diagnosis of follicular carcinoma thyroid (FCT) metastasis in a 75-year-old female who was presented with symptoms related to pelvic mass. This is a rare site of reporting as only three cases have been reported previously at the first diagnosis. It is important to identify the presence of distant metastasis as it is the most important prognostic indicator (associated with 50% mortality). This is significant as this has a direct bearing upon its treatment and managing the patient. Hence more awareness is required by both diagnosticians and clinicians regarding this.
甲状腺肿瘤以远处转移为首发表现的情况很少见。本病例报告描述了一例75岁女性患者,因盆腔肿块相关症状偶然诊断为甲状腺滤泡癌(FCT)转移。这是一个罕见的报告部位,此前仅有3例在首次诊断时被报道。识别远处转移的存在很重要,因为它是最重要的预后指标(与50%的死亡率相关)。这一点很重要,因为它直接关系到其治疗和患者管理。因此,诊断医生和临床医生都需要对此有更多的认识。