VOLUME 40 - NUMBER 3 - 2019

Unusual presentation of metastatic thyroid cancer without a primary: role of diagnostic imaging in a daily clinical setting

  • Izzo L., Pugliese F., Di Poce I., Valabrega S., Di Cello P., Gabriele R., Messineo D., Izzo S., Izzo P.
  • Clinical practice, 234-237
  • Full text PDF

  • Papillary thyroid carcinoma (PTC) is the most common mali gnancy of the thyroid gland. In 21-90% of the patients occult lymph node metastases may occur. The case reported here describes a woman who underwent a total thyroidectomy for multinodular goiter and who presented an enlarged lymph node on the left side of the neck, which showed a metastasis from PTC. The patient underwent imaging investigation with CT and FNAB. The pathological examination diagnosed a papillary thyroid cancer metastases. The pT underwent a I131 total body scan, negative for secondary localization.

  • KEY WORDS: Thyroid cancer metastasis - I131 total body scan.