A Rare Case of Functional Metastatic Follicular Thyroid Carcinoma With Concomitant Thyrotoxicosis

We report a case of a 60-year-old lady with metastatic follicular thyroid carcinoma (FTC) who was presented with thyrotoxicosis and heart failure symptoms after total thyroidectomy. Clinical features and investigations led to the diagnosis of functional metastatic FTC with concomitant thyrotoxicosis...

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Main Authors: Yun Ann Chin, Zaheer Sumbul, Yi Lin Teh, Chiaw Ling Chng
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:Case Reports in Endocrinology
Online Access:http://dx.doi.org/10.1155/crie/1398125
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author Yun Ann Chin
Zaheer Sumbul
Yi Lin Teh
Chiaw Ling Chng
author_facet Yun Ann Chin
Zaheer Sumbul
Yi Lin Teh
Chiaw Ling Chng
author_sort Yun Ann Chin
collection DOAJ
description We report a case of a 60-year-old lady with metastatic follicular thyroid carcinoma (FTC) who was presented with thyrotoxicosis and heart failure symptoms after total thyroidectomy. Clinical features and investigations led to the diagnosis of functional metastatic FTC with concomitant thyrotoxicosis. Levothyroxine therapy was stopped, and she was treated with propylthiouracil (PTU) followed by serial radioiodine treatments (RAITs) with good control of thyrotoxicosis and metastases. Despite having a very high disease burden with metastatic FTC, she has been able to maintain her functional status thus far, 4.5 years after initial diagnosis.
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institution DOAJ
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language English
publishDate 2024-01-01
publisher Wiley
record_format Article
series Case Reports in Endocrinology
spelling doaj-art-079e79b302b049ba9eefacd51b30142a2025-08-20T02:52:11ZengWileyCase Reports in Endocrinology2090-651X2024-01-01202410.1155/crie/1398125A Rare Case of Functional Metastatic Follicular Thyroid Carcinoma With Concomitant ThyrotoxicosisYun Ann Chin0Zaheer Sumbul1Yi Lin Teh2Chiaw Ling Chng3Department of EndocrinologyDepartment of Nuclear Medicine and Molecular ImagingDepartment of Medical OncologyDepartment of EndocrinologyWe report a case of a 60-year-old lady with metastatic follicular thyroid carcinoma (FTC) who was presented with thyrotoxicosis and heart failure symptoms after total thyroidectomy. Clinical features and investigations led to the diagnosis of functional metastatic FTC with concomitant thyrotoxicosis. Levothyroxine therapy was stopped, and she was treated with propylthiouracil (PTU) followed by serial radioiodine treatments (RAITs) with good control of thyrotoxicosis and metastases. Despite having a very high disease burden with metastatic FTC, she has been able to maintain her functional status thus far, 4.5 years after initial diagnosis.http://dx.doi.org/10.1155/crie/1398125
spellingShingle Yun Ann Chin
Zaheer Sumbul
Yi Lin Teh
Chiaw Ling Chng
A Rare Case of Functional Metastatic Follicular Thyroid Carcinoma With Concomitant Thyrotoxicosis
Case Reports in Endocrinology
title A Rare Case of Functional Metastatic Follicular Thyroid Carcinoma With Concomitant Thyrotoxicosis
title_full A Rare Case of Functional Metastatic Follicular Thyroid Carcinoma With Concomitant Thyrotoxicosis
title_fullStr A Rare Case of Functional Metastatic Follicular Thyroid Carcinoma With Concomitant Thyrotoxicosis
title_full_unstemmed A Rare Case of Functional Metastatic Follicular Thyroid Carcinoma With Concomitant Thyrotoxicosis
title_short A Rare Case of Functional Metastatic Follicular Thyroid Carcinoma With Concomitant Thyrotoxicosis
title_sort rare case of functional metastatic follicular thyroid carcinoma with concomitant thyrotoxicosis
url http://dx.doi.org/10.1155/crie/1398125
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