A case of thyroid metastasis from pancreatic cancer: case report and literature review View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2014-12

AUTHORS

Alessandro P Delitala, Gianpaolo Vidili, Alessandra Manca, Upinder Dial, Giuseppe Delitala, Giuseppe Fanciulli

ABSTRACT

BACKGROUND: Thyroid metastases are clinically rare, and usually occur in patients with a history of prior malignancy and when there are metastases elsewhere. Metastases of pancreatic carcinoma to the thyroid are extremely rare, with only three cases reported in the literature. CASE PRESENTATION: We report a patient who had a pancreatic carcinoma with metastasis to the thyroid as initial clinical presentation of the disease. A 63-year-old man with a history of weight loss and fatigue presented with cervical lymphadenopathies and a large nodule in the right lobe of the thyroid. A fine needle aspiration of the nodule gave inconclusive cytological results for the origin of the neoplastic cells. An ultrasound-guided core biopsy revealed the presence of a poorly differentiated adenocarcinoma infiltrating the thyroid with atrophic thyroid follicles. Immunohistochemical staining of the lesion was strongly positive for Cytokeratin 19 suggesting a pancreatic origin of the metastasis. A contrast CT scan demonstrated an enlargement of the pancreatic body, dilatation of the pancreatic duct, diffuse retroperitoneal, paraaortic and cervical lymphadenopathy and secondary lesions in the liver. CONCLUSION: Metastases to the thyroid from pancreatic carcinoma are extremely rare. A core biopsy of the lesion excluded a thyroid carcinoma and permitted the diagnosis of the primary neoplasm. More... »

PAGES

6

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/1472-6823-14-6

DOI

http://dx.doi.org/10.1186/1472-6823-14-6

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1046383500

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/24428866


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