Uncommon metastatic journey: unusual breast metastases of medullary thyroid carcinoma: a case report

Abstract Medullary thyroid carcinoma is a neuroendocrine tumor derived from thyroid C-cells. It is a rare aggressive tumor, known to metastasize to lymph nodes, liver, bones, and lungs. We report a case of a young patient with a family history of breast cancer, who developed breast metastases six mo...

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Main Authors: Saadallah Fatma, Chrigui Maha, Zemni Ines, Kammoun Salma, Houcin Yoldez, Jbeli Souhail, Driss Maha, Ben Dhiab Tarak
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Women's Health
Subjects:
Online Access:https://doi.org/10.1186/s12905-025-03564-y
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author Saadallah Fatma
Chrigui Maha
Zemni Ines
Kammoun Salma
Houcin Yoldez
Jbeli Souhail
Driss Maha
Ben Dhiab Tarak
author_facet Saadallah Fatma
Chrigui Maha
Zemni Ines
Kammoun Salma
Houcin Yoldez
Jbeli Souhail
Driss Maha
Ben Dhiab Tarak
author_sort Saadallah Fatma
collection DOAJ
description Abstract Medullary thyroid carcinoma is a neuroendocrine tumor derived from thyroid C-cells. It is a rare aggressive tumor, known to metastasize to lymph nodes, liver, bones, and lungs. We report a case of a young patient with a family history of breast cancer, who developed breast metastases six months post-treatment for medullary thyroid carcinoma. The breast lesion was initially considered benign in ultrasound. Unlike the high prevalence of primary mammary malignancies, metastases to the breast are uncommon, and account for only 0.2–2.7% of all malignancies affecting this organ. This case emphasizes the need for thorough and continuous monitoring of patients with Medullary thyroid carcinoma, even in unusual locations, to ensure early detection and appropriate management. New lesions on imaging should be interpreted with caution to avoid underdiagnosing metastasis. Immunohistochemical analysis confirmed the metastatic origin, underscoring the challenges in distinguishing between primary and secondary breast tumors. This case contributes to the limited literature on MTC breast metastases and advocates for heightened clinical awareness regarding atypical metastatic sites in thyroid cancer patients.
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institution Kabale University
issn 1472-6874
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publishDate 2025-01-01
publisher BMC
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series BMC Women's Health
spelling doaj-art-0132ecf92c54433a9ea0b19a821cf4a42025-01-26T12:50:39ZengBMCBMC Women's Health1472-68742025-01-012511510.1186/s12905-025-03564-yUncommon metastatic journey: unusual breast metastases of medullary thyroid carcinoma: a case reportSaadallah Fatma0Chrigui Maha1Zemni Ines2Kammoun Salma3Houcin Yoldez4Jbeli Souhail5Driss Maha6Ben Dhiab Tarak7Department of Surgical Oncology, Salah Azaiez Institute, Faculty of Medicine of Tunis, University of Tunis El ManarDepartment of Surgical Oncology, Salah Azaiez Institute, Faculty of Medicine of Tunis, University of Tunis El ManarDepartment of Surgical Oncology, Salah Azaiez Institute, Faculty of Medicine of Tunis, University of Tunis El ManarDepartment of Pathology, Salah Azaiez Institute, Faculty of Medicine of Tunis, University of Tunis El ManarDepartment of Pathology, Salah Azaiez Institute, Faculty of Medicine of Tunis, University of Tunis El ManarDepartment of ENT, Salah Azaiez Institute, Faculty of Medicine of Tunis, University of Tunis El ManarDepartment of Pathology, Salah Azaiez Institute, Faculty of Medicine of Tunis, University of Tunis El ManarDepartment of Surgical Oncology, Salah Azaiez Institute, Faculty of Medicine of Tunis, University of Tunis El ManarAbstract Medullary thyroid carcinoma is a neuroendocrine tumor derived from thyroid C-cells. It is a rare aggressive tumor, known to metastasize to lymph nodes, liver, bones, and lungs. We report a case of a young patient with a family history of breast cancer, who developed breast metastases six months post-treatment for medullary thyroid carcinoma. The breast lesion was initially considered benign in ultrasound. Unlike the high prevalence of primary mammary malignancies, metastases to the breast are uncommon, and account for only 0.2–2.7% of all malignancies affecting this organ. This case emphasizes the need for thorough and continuous monitoring of patients with Medullary thyroid carcinoma, even in unusual locations, to ensure early detection and appropriate management. New lesions on imaging should be interpreted with caution to avoid underdiagnosing metastasis. Immunohistochemical analysis confirmed the metastatic origin, underscoring the challenges in distinguishing between primary and secondary breast tumors. This case contributes to the limited literature on MTC breast metastases and advocates for heightened clinical awareness regarding atypical metastatic sites in thyroid cancer patients.https://doi.org/10.1186/s12905-025-03564-yMedullary carcinomaThyroidBreastMetastasisSurgery
spellingShingle Saadallah Fatma
Chrigui Maha
Zemni Ines
Kammoun Salma
Houcin Yoldez
Jbeli Souhail
Driss Maha
Ben Dhiab Tarak
Uncommon metastatic journey: unusual breast metastases of medullary thyroid carcinoma: a case report
BMC Women's Health
Medullary carcinoma
Thyroid
Breast
Metastasis
Surgery
title Uncommon metastatic journey: unusual breast metastases of medullary thyroid carcinoma: a case report
title_full Uncommon metastatic journey: unusual breast metastases of medullary thyroid carcinoma: a case report
title_fullStr Uncommon metastatic journey: unusual breast metastases of medullary thyroid carcinoma: a case report
title_full_unstemmed Uncommon metastatic journey: unusual breast metastases of medullary thyroid carcinoma: a case report
title_short Uncommon metastatic journey: unusual breast metastases of medullary thyroid carcinoma: a case report
title_sort uncommon metastatic journey unusual breast metastases of medullary thyroid carcinoma a case report
topic Medullary carcinoma
Thyroid
Breast
Metastasis
Surgery
url https://doi.org/10.1186/s12905-025-03564-y
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