Lytic skull metastasis secondary to thyroid carcinoma in an adolescent.
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AbstractWe report an unusual case of skull metastasis secondary to thyroid carcinoma in an adolescent girl. The 18-year-old presented with an occipital scalp swelling of 5 years' duration. She reported having thyroid surgery in mainland China 10 years previously. Radiological investigations on presentation demonstrated a lytic hypervascular skull lesion. Preoperative angiography and embolisation was followed by surgical excision. Pathological examination showed the lesion to be a thyroid carcinoma with a predominantly follicular pattern and a completion hemithyroidectomy was subsequently performed. Computed tomography of the thorax showed small micronodules in both lung fields compatible with metastases. The patient was given whole body iodine-131 internal radiation treatment and subsequently commenced thyroid-stimulating hormone-suppressive treatment with thyroxine. The management of thyroid carcinoma and subsequent skull metastasis in children and adolescents is reviewed and controversial points are highlighted.
All Author(s) ListWong G.K., Boet R., Poon W.S., Ng H.K.
Journal nameHong Kong Medical Journal
Volume Number8
Issue Number2
PublisherHong Kong Academy of Medicine Press
Place of PublicationHong Kong
Pages149 - 151
LanguagesEnglish-United Kingdom

Last updated on 2020-21-10 at 01:17