Giant sternal metastasis secondary to follicular carcinoma of the thyroid gland: report of a case.

Surgery Today
Sotirios MoraitisGeorgios Pechlivanides

Abstract

A 70-year-old woman was admitted to our department for investigation and treatment of a progressively enlarging multinodular goiter and a fast growing mass infiltrating the sternum. The patient was euthyroid, but computed tomography (CT) and ultrasonography showed a mass in the anterior mediastinum infiltrating the sternum, with a dominant nodule in the right lobe of the thyroid. Fine needle aspiration biopsy results from both the cervical and the mediastinal masses were suggestive of follicular thyroid carcinoma. The patient underwent total thyroidectomy, thymectomy, and total removal of the mass, along with parts of the sternum, sternocleidomastoid muscle, and attached ribs. The thoracic wall was reconstructed with gortex dual mesh covered by muscle flaps from both pectoralis major muscles. Pathological analysis of both masses confirmed the fine needle aspiration findings and the patient received three cycles of radioactive iodine treatment. She had an uneventful postoperative course, but died of a stroke 8 years later.

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Citations

Oct 26, 2013·Case Reports in Surgery·Hajime IshinagaKazuhiko Takeuchi
Dec 15, 2015·Diagnostic Cytopathology·Parikshaa GuptaPranab Dey
Oct 14, 2014·International Journal of Surgery Case Reports·Quaratulain SabihCharles A Dietl

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