Splenectomy for Solitary Splenic Metastasis in Recurrent Papillary Thyroid Cancer. A Case Report and Literature Review
Thyroid cancer is the most common endocrine malignancy, presenting with 23 500 new cases per year in the United States. About 7-23% of the patients will present recurrent metastases disease during follow-up. The classic variant of papillary carcinoma is less aggressive compared to its other variants...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Oncological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2020/2084847 |
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| author | Antonio Maffuz-Aziz Gabriel Garnica Silvia López-Hernández Janet Pineda-Diaz Javier Baquera-Heredia Patricia López-Jiménez |
| author_facet | Antonio Maffuz-Aziz Gabriel Garnica Silvia López-Hernández Janet Pineda-Diaz Javier Baquera-Heredia Patricia López-Jiménez |
| author_sort | Antonio Maffuz-Aziz |
| collection | DOAJ |
| description | Thyroid cancer is the most common endocrine malignancy, presenting with 23 500 new cases per year in the United States. About 7-23% of the patients will present recurrent metastases disease during follow-up. The classic variant of papillary carcinoma is less aggressive compared to its other variants like diffuse sclerosing, tall cell or columnar cell, and insular variants, and the sites to which this metastasizes is already well identified. Metastasis to the spleen is an extremely rare manifestation of papillary thyroid cancer. To date, only 3 cases have been reported in the literature. Herein, we present a 52-year-old male, who developed spleen metastases, 2.4 years after total thyroidectomy and central neck dissection followed by radioactive iodine ablation and seven months after treatment with sorafenib for lung metastases. The splenic lesion was detected in surveillance studies. This case highlights that splenic metastasis, although rare, may occur even in a patient with a locoregional and systemic controlled thyroid cancer and that it can be treated safely with surgical resection. |
| format | Article |
| id | doaj-art-c7472473aa684edc828d29ccdcc6ba68 |
| institution | Kabale University |
| issn | 2090-6706 2090-6714 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Oncological Medicine |
| spelling | doaj-art-c7472473aa684edc828d29ccdcc6ba682025-02-03T01:05:18ZengWileyCase Reports in Oncological Medicine2090-67062090-67142020-01-01202010.1155/2020/20848472084847Splenectomy for Solitary Splenic Metastasis in Recurrent Papillary Thyroid Cancer. A Case Report and Literature ReviewAntonio Maffuz-Aziz0Gabriel Garnica1Silvia López-Hernández2Janet Pineda-Diaz3Javier Baquera-Heredia4Patricia López-Jiménez5Department of Surgical Oncology, American British Cowdray Medical Center, Mexico City, MexicoDepartment of Surgical Oncology, American British Cowdray Medical Center, Mexico City, MexicoDepartment of Surgical Oncology, American British Cowdray Medical Center, Mexico City, MexicoDepartment of Surgical and Molecular Pathology, American British Cowdray Medical Center, Mexico City, MexicoDepartment of Surgical and Molecular Pathology, American British Cowdray Medical Center, Mexico City, MexicoDepartment of Surgical Oncology, American British Cowdray Medical Center, Mexico City, MexicoThyroid cancer is the most common endocrine malignancy, presenting with 23 500 new cases per year in the United States. About 7-23% of the patients will present recurrent metastases disease during follow-up. The classic variant of papillary carcinoma is less aggressive compared to its other variants like diffuse sclerosing, tall cell or columnar cell, and insular variants, and the sites to which this metastasizes is already well identified. Metastasis to the spleen is an extremely rare manifestation of papillary thyroid cancer. To date, only 3 cases have been reported in the literature. Herein, we present a 52-year-old male, who developed spleen metastases, 2.4 years after total thyroidectomy and central neck dissection followed by radioactive iodine ablation and seven months after treatment with sorafenib for lung metastases. The splenic lesion was detected in surveillance studies. This case highlights that splenic metastasis, although rare, may occur even in a patient with a locoregional and systemic controlled thyroid cancer and that it can be treated safely with surgical resection.http://dx.doi.org/10.1155/2020/2084847 |
| spellingShingle | Antonio Maffuz-Aziz Gabriel Garnica Silvia López-Hernández Janet Pineda-Diaz Javier Baquera-Heredia Patricia López-Jiménez Splenectomy for Solitary Splenic Metastasis in Recurrent Papillary Thyroid Cancer. A Case Report and Literature Review Case Reports in Oncological Medicine |
| title | Splenectomy for Solitary Splenic Metastasis in Recurrent Papillary Thyroid Cancer. A Case Report and Literature Review |
| title_full | Splenectomy for Solitary Splenic Metastasis in Recurrent Papillary Thyroid Cancer. A Case Report and Literature Review |
| title_fullStr | Splenectomy for Solitary Splenic Metastasis in Recurrent Papillary Thyroid Cancer. A Case Report and Literature Review |
| title_full_unstemmed | Splenectomy for Solitary Splenic Metastasis in Recurrent Papillary Thyroid Cancer. A Case Report and Literature Review |
| title_short | Splenectomy for Solitary Splenic Metastasis in Recurrent Papillary Thyroid Cancer. A Case Report and Literature Review |
| title_sort | splenectomy for solitary splenic metastasis in recurrent papillary thyroid cancer a case report and literature review |
| url | http://dx.doi.org/10.1155/2020/2084847 |
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