Liu Ying, Liu Xianchen, Chen Xuezhi, Zhou Lianjun, Gao Xiaoling, Yu Hao
Department of CTMR, Ningcheng County Central Hospital, Ningcheng Inner Mongolia 024200, China.
Radiol Case Rep. 2021 Aug 26;16(11):3260-3265. doi: 10.1016/j.radcr.2021.07.054. eCollection 2021 Nov.
Although the incidence of thyroid carcinoma has increased in recent years, follicular thyroid carcinoma with bone metastasis as the first symptom remains rare. Here, we report a case of occult follicular thyroid carcinoma in a 65-year-old female patient admitted to hospital with cerebrovascular disease. Computed tomography findings suggested a diagnosis of meningioma; however, magnetic resonance imaging results showed multiple skull bone destruction with soft tissue masses on the left side of the skull. After surgical resection, the pathology results revealed skull metastasis of follicular thyroid carcinoma. We present this case not only because of the diagnostic challenge it posed, but also because the patient had multiple skull metastases from follicular thyroid carcinoma.
尽管近年来甲状腺癌的发病率有所上升，但以骨转移为首发症状的滤泡状甲状腺癌仍然罕见。在此，我们报告一例65岁女性患者，因脑血管疾病入院，被诊断为隐匿性滤泡状甲状腺癌。计算机断层扫描结果提示为脑膜瘤；然而，磁共振成像结果显示颅骨多处骨质破坏，颅骨左侧有软组织肿块。手术切除后，病理结果显示为滤泡状甲状腺癌颅骨转移。我们呈现此病例不仅是因为它带来的诊断挑战，还因为该患者存在滤泡状甲状腺癌的多处颅骨转移。
