Session: SUN 459-496-Thyroid Neoplasia & Case Reports
Poster Board SUN-494
Case Presentation: We present the case of a 70 year old woman who underwent thyriodectomy in Feb 2012 after FNA of a 5.5 cm left thyroid nodule was positive for papillary thyroid cancer. Two weeks after thyroidectomy, wide-spread spinal metastases were diagnosed on MRI done to evaluate persistent back pain. Laminectomy of T12 vertebra was consistent with metastatic papillary thyroid cancer. While undergoing palliative external radiation therapy, a CXR done for evaluation of shortness of breath revealed massive left pleural effusion which was positive for metastatic papillary cancer. Due to rapid re-accumulation of pleural effusion, she underwent pleurodesis a month later. Seven months after the initial thyroidectomy she received 200mCi of radioactive iodine after thyrogen stimulation but unfortunately no uptake was seen on her post-therapy body scan. She died 3 weeks later.
Discussion: Despite the benign nature of most cases of well-differentiated thyroid cancer, presence of distant metastasis is a clear indication for need for more aggressive management; however, patients with malignant pleural effusion continue to have poor prognosis.
Nothing to Disclose: VT, MIS
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