Differentiated Thyroid Carcinoma: Distant Metastasis as an Unusual Sole Initial Manifestation
Open Access
- 15 October 2021
- journal article
- research article
- Published by Galenos Yayinevi in Turk Otolarengoloji Arsivi/Turkish Archives of Otolaryngology
- Vol. 59 (3), 188-192
- https://doi.org/10.4274/tao.2021.2021-2-5
Abstract
Objective: The objective of this study was to identify the characteristic features of patients with distant metastasis as the only manifestation of well-differentiated thyroid cancers and to analyze the treatment outcomes. Methods: A retrospective review of all patients with well-differentiated thyroid cancers and distant metastasis as the sole initial presentation was carried out. Data regarding age, gender, tumor histology, site, symptoms, and treatment outcomes were collected. Results: There were 10 patients who presented with distant metastasis as the only presentation.The mean age was 56.1 years. Eight (80%) patients had osseous metastasis, one (10%) had pulmonary and one (10%) had both. Follicular thyroid carcinoma was more common and seen in six (60%) patients. Seven (77.8%) out of nine patients had demised within five years of initial presentation. Conclusion: Distant metastases without a neck lump as the initial presentation of well-differentiated thyroid cancers are extremely rare. No specific guidelines are available to manage such patients due to lack of relevant data in the literature.Keywords
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