Andrianandrasana Ny Ony Tiana, Razakanaivo Malala, Rahantamalala Marie Ida, Rafaramino Florine Josoa
Service Oncologie-Radiothérapie, Hôpital Joseph Ravoahangy Andrianavalona CHU Antananarivo, Madagascar.
Service de Médecine Interne CHU Ambohidratrimo, Anosiala, Madagascar.
Pan Afr Med J. 2018 Dec 26;31:245. doi: 10.11604/pamj.2018.31.245.9607. eCollection 2018.
Secondary subcutaneous metastasis originating from vesicular thyroid carcinoma is unusual. It accounts for more than 5.8% of most common sites of metastasis for thyroid carcinoma. We here report the case of a 60-year old woman presenting with slowly evolving giant hypervascular lesion in the subcutaneous tissue of the skull occurred 7 years after right thyroid lobectomy. Anatomopathological examination enabled the diagnosis of vesicular thyroid carcinoma. Surgery was based on reduction of the skull lesion as well as on thyroidectomy. Currently, the patient is waiting for radioactive iodine treatment. Metastasis from vesicular carcinoma of the scalp, even though rare, can occur. However, this stage is associated with unfavorable prognosis.
甲状腺泡状癌继发皮下转移较为罕见。它在甲状腺癌最常见的转移部位中占比超过5.8%。我们在此报告一例60岁女性病例，该患者在右甲状腺叶切除术后7年，颅骨皮下组织出现缓慢发展的巨大高血管病变。解剖病理学检查确诊为甲状腺泡状癌。手术包括颅骨病变切除及甲状腺切除术。目前，患者正在等待放射性碘治疗。头皮泡状癌转移虽罕见，但仍可发生。然而，此阶段预后不佳。
