Thyroid metastasis of a lung cancer and abnormal thyroid function - a case report

被引:3
作者
Wirtz, G. [1 ]
Quoix, E. [1 ]
Grunenberger, F. [2 ]
Massard, G. [3 ]
Mennecier, B. [1 ]
机构
[1] CHU Strasbourg, Serv Pneumol, F-67000 Strasbourg, France
[2] CHU Strasbourg, Hop Hautepierre, Serv Med Interne, F-67098 Strasbourg, France
[3] CHU Strasbourg, Serv Chirurg Thorac, F-67000 Strasbourg, France
关键词
Lung cancer; Metastasis; Thyroid gland; Goiter; Hypothyroidism; Hyperthyroidsm; PET; MALIGNANCY;
D O I
10.1016/j.pneumo.2008.08.003
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
The thyroid gland is a very rare location of metastasis and the metastatic involvement of the thyroid is mostly asymptomatic. The authors report one of the first cases of pulmonary adenocarcinoma associated with painful metastatic involvement of the thyroid gland. Temporary hyperthyroidism was noted, followed, two months later, by clinically and biologically proven hypothyroidism with positive antithyroglobulin antibodies. The suspect goiter was detected by diffuse hyperfixation on 18-FDG PET Scan and the ultrasonography revealed two hypoechogenic nodules. The fine needle biopsy confirmed the metastatic origin of these nodules. The evolution after five cycles of chemotherapy by cisplatine and docetaxel was marked by a complete regression of the thyroid metastasis and an improvement in the thyroid function. (C) 2008 Elsevier Masson SAS. All rights reserved.
引用
收藏
页码:27 / 31
页数:5
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