EJMCR |

Case Report

Volume: 7 | Issue: 6 | Published: Sep 01, 2023 | Pages: 125 - 129 | DOI: 10.24911/ejmcr/173-1673679828

Thyroid metastasis presenting as backache and lower limb weakness without any primary tumor - a case report

Authors: Javaid Iqbal , Basit Iqbal , Salman Habib , Talal A. Rahman , Imran Hadi , Hasnain Dilawar , Akhtar Ahmad

Article Info

Authors

Javaid Iqbal

Department of Nuclear Medicine, KIRAN, Karachi, Pakistan

ORCID

Basit Iqbal

Department of Nuclear Medicine, GINUM, Gujranwala, Pakistan

ORCID

Salman Habib

Department of Nuclear Medicine, KIRAN, Karachi, Pakistan

Talal A. Rahman

Department of Nuclear Medicine, KIRAN, Karachi, Pakistan

Imran Hadi

Department of Nuclear Medicine, KIRAN, Karachi, Pakistan

Hasnain Dilawar

Department of Nuclear Medicine, KIRAN, Karachi, Pakistan

Akhtar Ahmad

Department of Nuclear Medicine, KIRAN, Karachi, Pakistan.

Publication History

Received: February 01, 2023

Revised: June 19, 2023

Accepted: June 19, 2023

Published: September 01, 2023

Abstract

Background: Differentiated thyroid cancer is the commonest endocrine malignancy. Mortality in the presence of distant metastasis can increase dramatically. Bony metastasis often leads to increased morbidity and mortality. We report a case of a 60-year-old male who had metastatic spread of follicular cancer of the thyroid, without any identifiable primary. Case Presentation: A 60-year-old male presented with backache and weakness of lower limbs due to the collapse of the 11th thoracic vertebra. He underwent laminectomy and internal fixation. The histopathology revealed that it was the metastatic spread of follicular cancer of the thyroid. The histopathology revealed no malignancy in the thyroidectomy specimen. Subsequent administration of radioactive iodine showed a fall in thyroglobulin from 6,000 to 203 ng/ml. Conclusion: In cases of metastasis from an unknown primary, follicular thyroid cancer should be included in the differential diagnosis. Treatment after thyroidectomy can lead to good results.

Keywords: Differentiated thyroid cancer, follicular cancer, unknown primary, metastasis of unknown origin, case report, green

Pubmed Style

Javaid Iqbal, Basit Iqbal, Salman Habib, Talal A. Rahman, Imran Hadi, Hasnain Dilawar, Akhtar Ahmad. Thyroid metastasis presenting as backache and lower limb weakness without any primary tumor - a case report. EJMCR. 2023; 01 (September 2023): 125-129. doi:10.24911/ejmcr/173-1673679828

Web Style

Javaid Iqbal, Basit Iqbal, Salman Habib, Talal A. Rahman, Imran Hadi, Hasnain Dilawar, Akhtar Ahmad. Thyroid metastasis presenting as backache and lower limb weakness without any primary tumor - a case report. https://ejmcr.com/articles/1060 [Access: November 23, 2024]. doi:10.24911/ejmcr/173-1673679828

AMA (American Medical Association) Style

Vancouver/ICMJE Style

Javaid Iqbal, Basit Iqbal, Salman Habib, Talal A. Rahman, Imran Hadi, Hasnain Dilawar, Akhtar Ahmad. Thyroid metastasis presenting as backache and lower limb weakness without any primary tumor - a case report. EJMCR. (2023), [cited November 23, 2024]; 01 (September 2023): 125-129. doi:10.24911/ejmcr/173-1673679828

Harvard Style

Javaid Iqbal, Basit Iqbal, Salman Habib, Talal A. Rahman, Imran Hadi, Hasnain Dilawar, Akhtar Ahmad (2023) Thyroid metastasis presenting as backache and lower limb weakness without any primary tumor - a case report. EJMCR, 01 (September 2023): 125-129. doi:10.24911/ejmcr/173-1673679828

Chicago Style

Javaid Iqbal, Basit Iqbal, Salman Habib, Talal A. Rahman, Imran Hadi, Hasnain Dilawar, Akhtar Ahmad. "Thyroid metastasis presenting as backache and lower limb weakness without any primary tumor - a case report." 01 (2023), 125-129. doi:10.24911/ejmcr/173-1673679828

MLA (The Modern Language Association) Style

Javaid Iqbal, Basit Iqbal, Salman Habib, Talal A. Rahman, Imran Hadi, Hasnain Dilawar, Akhtar Ahmad. "Thyroid metastasis presenting as backache and lower limb weakness without any primary tumor - a case report." 01.September 2023 (2023), 125-129. Print. doi:10.24911/ejmcr/173-1673679828

APA (American Psychological Association) Style

Javaid Iqbal, Basit Iqbal, Salman Habib, Talal A. Rahman, Imran Hadi, Hasnain Dilawar, Akhtar Ahmad (2023) Thyroid metastasis presenting as backache and lower limb weakness without any primary tumor - a case report. , 01 (September 2023), 125-129. doi:10.24911/ejmcr/173-1673679828