Thyroid Metastasis from Nonsmall Cell Lung Cancer

Background. Thyroid metastases are rare. Clinically, they represent less than 4% of thyroid malignancy in clinical studies. Aim. To assess various presentations and therapy for patients with lung cancer metastatic in the thyroid. Materials and Methods. We report a case of metastatic adenocarcinoma o...

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Main Authors: Tariq Namad, Jiang Wang, Ralph Shipley, Nagla Abdel Karim
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Oncological Medicine
Online Access:http://dx.doi.org/10.1155/2013/208213
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author Tariq Namad
Jiang Wang
Ralph Shipley
Nagla Abdel Karim
author_facet Tariq Namad
Jiang Wang
Ralph Shipley
Nagla Abdel Karim
author_sort Tariq Namad
collection DOAJ
description Background. Thyroid metastases are rare. Clinically, they represent less than 4% of thyroid malignancy in clinical studies. Aim. To assess various presentations and therapy for patients with lung cancer metastatic in the thyroid. Materials and Methods. We report a case of metastatic adenocarcinoma of the lung to the thyroid. We reviewed similar reports through PubmMed search from 1997 until 2013. Case Presentation. A 48-year-old lady was seen in the clinic for an adenocarcinoma of left upper lobe (LUL) of the lung; she received neoadjuvant chemotherapy then LUL lobectomy. After 9 months she presented with diffuse goiter initially believed to be a solitary metastatic lesion as it was positive for adenocarcinoma of lung origin on histopathological exam with TTF-1 positivity. Unfortunately, PET scan showed additional mediastinal lymphadenopathy. Conclusion. The treatment strategy for metastatic thyroid disease is based on a multidisciplinary approach, where thyroidectomy would have been considered in case of a solitary metastatic involvement, but further metastatic workup is mandated to direct further systemic therapy versus palliative radiation therapy.
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spelling doaj-art-d2ffe3ab30d3449089bce2735fcf83722025-08-20T03:24:48ZengWileyCase Reports in Oncological Medicine2090-67062090-67142013-01-01201310.1155/2013/208213208213Thyroid Metastasis from Nonsmall Cell Lung CancerTariq Namad0Jiang Wang1Ralph Shipley2Nagla Abdel Karim3Division of Hematology and Oncology, University of Cincinnati, College of Medicine, Cincinnati, OH 45267, USADivision of Pathology, University of Cincinnati, College of Medicine, Cincinnati, OH 45267, USADivision of Radiology, University of Cincinnati, College of Medicine, Cincinnati, OH 45267, USADivision of Hematology and Oncology, University of Cincinnati, College of Medicine, Cincinnati, OH 45267, USABackground. Thyroid metastases are rare. Clinically, they represent less than 4% of thyroid malignancy in clinical studies. Aim. To assess various presentations and therapy for patients with lung cancer metastatic in the thyroid. Materials and Methods. We report a case of metastatic adenocarcinoma of the lung to the thyroid. We reviewed similar reports through PubmMed search from 1997 until 2013. Case Presentation. A 48-year-old lady was seen in the clinic for an adenocarcinoma of left upper lobe (LUL) of the lung; she received neoadjuvant chemotherapy then LUL lobectomy. After 9 months she presented with diffuse goiter initially believed to be a solitary metastatic lesion as it was positive for adenocarcinoma of lung origin on histopathological exam with TTF-1 positivity. Unfortunately, PET scan showed additional mediastinal lymphadenopathy. Conclusion. The treatment strategy for metastatic thyroid disease is based on a multidisciplinary approach, where thyroidectomy would have been considered in case of a solitary metastatic involvement, but further metastatic workup is mandated to direct further systemic therapy versus palliative radiation therapy.http://dx.doi.org/10.1155/2013/208213
spellingShingle Tariq Namad
Jiang Wang
Ralph Shipley
Nagla Abdel Karim
Thyroid Metastasis from Nonsmall Cell Lung Cancer
Case Reports in Oncological Medicine
title Thyroid Metastasis from Nonsmall Cell Lung Cancer
title_full Thyroid Metastasis from Nonsmall Cell Lung Cancer
title_fullStr Thyroid Metastasis from Nonsmall Cell Lung Cancer
title_full_unstemmed Thyroid Metastasis from Nonsmall Cell Lung Cancer
title_short Thyroid Metastasis from Nonsmall Cell Lung Cancer
title_sort thyroid metastasis from nonsmall cell lung cancer
url http://dx.doi.org/10.1155/2013/208213
work_keys_str_mv AT tariqnamad thyroidmetastasisfromnonsmallcelllungcancer
AT jiangwang thyroidmetastasisfromnonsmallcelllungcancer
AT ralphshipley thyroidmetastasisfromnonsmallcelllungcancer
AT naglaabdelkarim thyroidmetastasisfromnonsmallcelllungcancer