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Unusual Papillary Thyroid Cancer Metastases to Kidney and Pharynx: A Case Report

C. Chen-Ku,B. Roldán

Published 2016 in AACE clinical case reports

ABSTRACT

ABSTRACT Objective: The objective of this study is to report a very unusual case of papillary thyroid cancer with metastases to kidney and hematogenous spread to the pharynx. Methods: We reviewed all clinical data available for this patient, including computed tomography (CT) images and pathology samples. A literature search for kidney and pharynx metastases was performed in MEDLINE, using the terms “kidney metastases,” “pharynx metastases,” and “thyroid cancer.” Relevant references were selected and reviewed. Results: A 50-year-old Hispanic woman with a history of papillary thyroid carcinoma (PTC), a total thyroidectomy, plus a modified radical neck dissection, who was treated on 2 separate occasions with 131I (initially 100 mCi, and 1 year later 200 mCi), persisted with elevated thyroglobulin levels. An abdominal CT scan revealed a 3-cm lesion in the left kidney with no metastases to the lungs, bone, or liver. A left nephrectomy was performed. The pathology report confirmed metastases from PTC. Even the...

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