Skull metastasis of follicular thyroid carcinoma

Metastasis of a follicular thyroid carcinoma (FTC) to the skull is very rare. We present a case of solitary lytic skull metastasis of a FTC in a 30-year-old woman. The patient presented with bulging on the left side of the head. Neuro-imaging techniques showed a lesion with an osteolytic component i...

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Bibliographic Details
Published in:Acta neurochirurgica 2004-10, Vol.146 (10), p.1155-1158
Main Authors: Ozdemir, N, Senoğlu, M, Acar, U Dursun, Canda, M Serefettin
Format: Article
Language:English
Subjects:
Adenocarcinoma, Follicular - diagnostic imaging
Adenocarcinoma, Follicular - secondary
Adenocarcinoma, Follicular - surgery
Adult
Biomarkers, Tumor - metabolism
Craniotomy
Female
Frontal Bone - diagnostic imaging
Frontal Bone - pathology
Frontal Bone - surgery
Humans
Iodine Radioisotopes - therapeutic use
Lymph Nodes - pathology
Magnetic Resonance Imaging
Neoplasm Metastasis
Radiotherapy
Skull Neoplasms - diagnostic imaging
Skull Neoplasms - secondary
Skull Neoplasms - surgery
Thyroid gland
Thyroid Gland - diagnostic imaging
Thyroid Gland - pathology
Thyroid Gland - physiopathology
Thyroid Neoplasms - pathology
Thyroidectomy
Tomography, X-Ray Computed
Treatment Outcome
Ultrasonography
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Summary:Metastasis of a follicular thyroid carcinoma (FTC) to the skull is very rare. We present a case of solitary lytic skull metastasis of a FTC in a 30-year-old woman. The patient presented with bulging on the left side of the head. Neuro-imaging techniques showed a lesion with an osteolytic component in the left frontal region. After a left frontal craniectomy the tumour was removed totally. The histopathological examination revealed a well-differentiated FTC metastasis and a complete total thyroidectomy was subsequently performed. The patient was given thyroid-stimulating hormone (TSH) suppression therapy followed by whole body iodine-131 (I131) internal radiation.
ISSN:0001-6268
0942-0940
DOI:10.1007/s00701-004-0290-8