Thyroid metastasis from esophageal adenocarcinoma: a case report and literature review

Abstract Background The incidence of metastatic spread of gastrointestinal malignancies to the thyroid gland is relatively low and most of these malignancies originate from the colorectum. Thyroid metastasis originating from the esophagus is poorly documented. Case presentation A 79-year-old man pre...

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Main Authors: Shinsei Yumoto, Yoshifumi Baba, Daichi Nomoto, Kazutaka Oozono, Kojiro Eto, Yukiharu Hiyoshi, Yohei Nagai, Masaaki Iwatsuki, Shiro Iwagami, Yuji Miyamoto, Naoya Yoshida, Yoshiki Mikami, Hideo Baba
Format: Article
Language:English
Published: Japan Surgical Society 2019-08-01
Series:Surgical Case Reports
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Online Access:http://link.springer.com/article/10.1186/s40792-019-0695-5
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author Shinsei Yumoto
Yoshifumi Baba
Daichi Nomoto
Kazutaka Oozono
Kojiro Eto
Yukiharu Hiyoshi
Yohei Nagai
Masaaki Iwatsuki
Shiro Iwagami
Yuji Miyamoto
Naoya Yoshida
Yoshiki Mikami
Hideo Baba
author_facet Shinsei Yumoto
Yoshifumi Baba
Daichi Nomoto
Kazutaka Oozono
Kojiro Eto
Yukiharu Hiyoshi
Yohei Nagai
Masaaki Iwatsuki
Shiro Iwagami
Yuji Miyamoto
Naoya Yoshida
Yoshiki Mikami
Hideo Baba
author_sort Shinsei Yumoto
collection DOAJ
description Abstract Background The incidence of metastatic spread of gastrointestinal malignancies to the thyroid gland is relatively low and most of these malignancies originate from the colorectum. Thyroid metastasis originating from the esophagus is poorly documented. Case presentation A 79-year-old man presented with hoarseness of voice and swallowing difficulty. Eighteen months earlier, he had undergone preoperative chemotherapy (S-1 and oxaliplatin [SOX] therapy) and subtotal esophagectomy with regional lymph nodes dissection and retrosternal narrow gastric tube reconstruction for advanced Barrett’s esophageal adenocarcinoma. In the ultrasonographic examination, there was a hypoechoic, indistinct border and heterogeneous nodule in the left lobe of the thyroid gland. Pathological examination of an ultrasound-guided fine-needle aspiration showed adenocarcinoma, supporting a diagnosis of esophageal adenocarcinoma metastases in the thyroid. Conclusion This is a first case of a patient with thyroid metastasis from Barrett’s esophageal adenocarcinoma after subtotal esophagectomy.
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issn 2198-7793
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publishDate 2019-08-01
publisher Japan Surgical Society
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series Surgical Case Reports
spelling doaj-art-db9067dc261d45a690df7b4e832eecf82025-08-20T03:38:59ZengJapan Surgical SocietySurgical Case Reports2198-77932019-08-01511410.1186/s40792-019-0695-5Thyroid metastasis from esophageal adenocarcinoma: a case report and literature reviewShinsei Yumoto0Yoshifumi Baba1Daichi Nomoto2Kazutaka Oozono3Kojiro Eto4Yukiharu Hiyoshi5Yohei Nagai6Masaaki Iwatsuki7Shiro Iwagami8Yuji Miyamoto9Naoya Yoshida10Yoshiki Mikami11Hideo Baba12Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto UniversityDepartment of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto UniversityDepartment of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto UniversityDepartment of Diagnostic Pathology, Kumamoto University HospitalDepartment of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto UniversityDepartment of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto UniversityDepartment of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto UniversityDepartment of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto UniversityDepartment of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto UniversityDepartment of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto UniversityDepartment of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto UniversityDepartment of Diagnostic Pathology, Kumamoto University HospitalDepartment of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto UniversityAbstract Background The incidence of metastatic spread of gastrointestinal malignancies to the thyroid gland is relatively low and most of these malignancies originate from the colorectum. Thyroid metastasis originating from the esophagus is poorly documented. Case presentation A 79-year-old man presented with hoarseness of voice and swallowing difficulty. Eighteen months earlier, he had undergone preoperative chemotherapy (S-1 and oxaliplatin [SOX] therapy) and subtotal esophagectomy with regional lymph nodes dissection and retrosternal narrow gastric tube reconstruction for advanced Barrett’s esophageal adenocarcinoma. In the ultrasonographic examination, there was a hypoechoic, indistinct border and heterogeneous nodule in the left lobe of the thyroid gland. Pathological examination of an ultrasound-guided fine-needle aspiration showed adenocarcinoma, supporting a diagnosis of esophageal adenocarcinoma metastases in the thyroid. Conclusion This is a first case of a patient with thyroid metastasis from Barrett’s esophageal adenocarcinoma after subtotal esophagectomy.http://link.springer.com/article/10.1186/s40792-019-0695-5Thyroid metastasisEsophageal cancerBarrett’s esophageal adenocarcinoma
spellingShingle Shinsei Yumoto
Yoshifumi Baba
Daichi Nomoto
Kazutaka Oozono
Kojiro Eto
Yukiharu Hiyoshi
Yohei Nagai
Masaaki Iwatsuki
Shiro Iwagami
Yuji Miyamoto
Naoya Yoshida
Yoshiki Mikami
Hideo Baba
Thyroid metastasis from esophageal adenocarcinoma: a case report and literature review
Surgical Case Reports
Thyroid metastasis
Esophageal cancer
Barrett’s esophageal adenocarcinoma
title Thyroid metastasis from esophageal adenocarcinoma: a case report and literature review
title_full Thyroid metastasis from esophageal adenocarcinoma: a case report and literature review
title_fullStr Thyroid metastasis from esophageal adenocarcinoma: a case report and literature review
title_full_unstemmed Thyroid metastasis from esophageal adenocarcinoma: a case report and literature review
title_short Thyroid metastasis from esophageal adenocarcinoma: a case report and literature review
title_sort thyroid metastasis from esophageal adenocarcinoma a case report and literature review
topic Thyroid metastasis
Esophageal cancer
Barrett’s esophageal adenocarcinoma
url http://link.springer.com/article/10.1186/s40792-019-0695-5
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