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
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
