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Metastatic thyroid carcinoma presented as a large craniofacial mass: Case report and CT findings

Cranial metastases are uncommon locations of thyroid papillary carcinoma. They significantly reduce patients’ survival, especially in a context of late management. We report the case of a 46-year-old woman who presented an anterior cervical swelling, then a progressive large craniofacial mass for mo...

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Autores principales: Bile-Gui, Lynda N., Kouadio, Eric, Ohui-Acko, Estelle Valérie, Kabas, Raissa M., Koui, Sylvanus B., Diambra, Lolo M.A., Kouao, Jean-Paul S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6881619/
https://www.ncbi.nlm.nih.gov/pubmed/31798760
http://dx.doi.org/10.1016/j.radcr.2019.10.033
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author Bile-Gui, Lynda N.
Kouadio, Eric
Ohui-Acko, Estelle Valérie
Kabas, Raissa M.
Koui, Sylvanus B.
Diambra, Lolo M.A.
Kouao, Jean-Paul S.
author_facet Bile-Gui, Lynda N.
Kouadio, Eric
Ohui-Acko, Estelle Valérie
Kabas, Raissa M.
Koui, Sylvanus B.
Diambra, Lolo M.A.
Kouao, Jean-Paul S.
author_sort Bile-Gui, Lynda N.
collection PubMed
description Cranial metastases are uncommon locations of thyroid papillary carcinoma. They significantly reduce patients’ survival, especially in a context of late management. We report the case of a 46-year-old woman who presented an anterior cervical swelling, then a progressive large craniofacial mass for more than 5 years without any treatment. The imaging performed showed a large craniofacial tissue mass with frontotemporal and right orbital bone destruction extended to the face sinuses and the underlying extradural space without brain involvement; the second thyroid tumor right site had similar imaging characteristics to the cranial mass. The diagnosis of papillary carcinoma with craniofacial metastasis was retained after cranial biopsy and thyroid cytology. At this stage, a cranial surgery has not been proposed but a palliative hormonal treatment. The patient died 2 weeks after diagnosis. This case illustrates the relevant role of imaging in the assessment of thyroid tumors and the value of early management for improving patients’ survival.
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spelling pubmed-68816192019-12-03 Metastatic thyroid carcinoma presented as a large craniofacial mass: Case report and CT findings Bile-Gui, Lynda N. Kouadio, Eric Ohui-Acko, Estelle Valérie Kabas, Raissa M. Koui, Sylvanus B. Diambra, Lolo M.A. Kouao, Jean-Paul S. Radiol Case Rep Head and Neck Cranial metastases are uncommon locations of thyroid papillary carcinoma. They significantly reduce patients’ survival, especially in a context of late management. We report the case of a 46-year-old woman who presented an anterior cervical swelling, then a progressive large craniofacial mass for more than 5 years without any treatment. The imaging performed showed a large craniofacial tissue mass with frontotemporal and right orbital bone destruction extended to the face sinuses and the underlying extradural space without brain involvement; the second thyroid tumor right site had similar imaging characteristics to the cranial mass. The diagnosis of papillary carcinoma with craniofacial metastasis was retained after cranial biopsy and thyroid cytology. At this stage, a cranial surgery has not been proposed but a palliative hormonal treatment. The patient died 2 weeks after diagnosis. This case illustrates the relevant role of imaging in the assessment of thyroid tumors and the value of early management for improving patients’ survival. Elsevier 2019-11-23 /pmc/articles/PMC6881619/ /pubmed/31798760 http://dx.doi.org/10.1016/j.radcr.2019.10.033 Text en © 2019 The Authors. Published by Elsevier Inc. on behalf of University of Washington. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Head and Neck
Bile-Gui, Lynda N.
Kouadio, Eric
Ohui-Acko, Estelle Valérie
Kabas, Raissa M.
Koui, Sylvanus B.
Diambra, Lolo M.A.
Kouao, Jean-Paul S.
Metastatic thyroid carcinoma presented as a large craniofacial mass: Case report and CT findings
title Metastatic thyroid carcinoma presented as a large craniofacial mass: Case report and CT findings
title_full Metastatic thyroid carcinoma presented as a large craniofacial mass: Case report and CT findings
title_fullStr Metastatic thyroid carcinoma presented as a large craniofacial mass: Case report and CT findings
title_full_unstemmed Metastatic thyroid carcinoma presented as a large craniofacial mass: Case report and CT findings
title_short Metastatic thyroid carcinoma presented as a large craniofacial mass: Case report and CT findings
title_sort metastatic thyroid carcinoma presented as a large craniofacial mass: case report and ct findings
topic Head and Neck
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6881619/
https://www.ncbi.nlm.nih.gov/pubmed/31798760
http://dx.doi.org/10.1016/j.radcr.2019.10.033
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