Primary Mucoepidermoid Carcinoma of the Thyroid: A Report of a Rare Case with Bone Metastasis and Review of the Literature

Mucoepidermoid carcinomas (MECs) are generally found in salivary gland, but they have also been mentioned in other organs such as the larynx, esophagus, breast. MECs are considered to be a low-grade carcinoma and their occurrence in the thyroid is extremely rare. We present a 54-year-old male patien...

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Main Authors: Quang Van Le, Duy Quoc Ngo, Quy Xuan Ngo
Format: Article
Language:English
Published: Karger Publishers 2019-03-01
Series:Case Reports in Oncology
Subjects:
Online Access:https://www.karger.com/Article/FullText/498917
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author Quang Van Le
Duy Quoc Ngo
Quy Xuan Ngo
author_facet Quang Van Le
Duy Quoc Ngo
Quy Xuan Ngo
author_sort Quang Van Le
collection DOAJ
description Mucoepidermoid carcinomas (MECs) are generally found in salivary gland, but they have also been mentioned in other organs such as the larynx, esophagus, breast. MECs are considered to be a low-grade carcinoma and their occurrence in the thyroid is extremely rare. We present a 54-year-old male patient admitted to our clinic, complaining about having back pains for approximately three months. A lumbosacral spine MRI and a PET/CT scan revealed multiple lesions in the L4, L5, S1 vertebra bodies, sacral bone and left pelvis bone, suggesting of a metastatic disease. The result of thyroid FNA was carcinoma and a biopsy of the vertebra bone confirmed the presence of a metastatic carcinoma. A total thyroidectomy and level VI neck dissection was conducted followed by palliative external beam radiotherapy (30 Gy) to the vertebra bodies, sacral bone and left pelvis bone. In pathological studies, the diagnosis of thyroid mucoepidermoid carcinoma was confirmed. Six months after treatment, the patient died due to severe pain and fatigue caused by the disease. Here, we report a rare case with bone metastasis as the first symptom of MEC and a brief review of published literature on the subject.
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spelling doaj.art-546945a0b96d45dfb9f0ba2bb5c927f12022-12-22T03:57:47ZengKarger PublishersCase Reports in Oncology1662-65752019-03-0112124825910.1159/000498917498917Primary Mucoepidermoid Carcinoma of the Thyroid: A Report of a Rare Case with Bone Metastasis and Review of the LiteratureQuang Van LeDuy Quoc NgoQuy Xuan NgoMucoepidermoid carcinomas (MECs) are generally found in salivary gland, but they have also been mentioned in other organs such as the larynx, esophagus, breast. MECs are considered to be a low-grade carcinoma and their occurrence in the thyroid is extremely rare. We present a 54-year-old male patient admitted to our clinic, complaining about having back pains for approximately three months. A lumbosacral spine MRI and a PET/CT scan revealed multiple lesions in the L4, L5, S1 vertebra bodies, sacral bone and left pelvis bone, suggesting of a metastatic disease. The result of thyroid FNA was carcinoma and a biopsy of the vertebra bone confirmed the presence of a metastatic carcinoma. A total thyroidectomy and level VI neck dissection was conducted followed by palliative external beam radiotherapy (30 Gy) to the vertebra bodies, sacral bone and left pelvis bone. In pathological studies, the diagnosis of thyroid mucoepidermoid carcinoma was confirmed. Six months after treatment, the patient died due to severe pain and fatigue caused by the disease. Here, we report a rare case with bone metastasis as the first symptom of MEC and a brief review of published literature on the subject.https://www.karger.com/Article/FullText/498917Mucoepidermoid carcinomasThyroidMucoepidermoidBone metastasis
spellingShingle Quang Van Le
Duy Quoc Ngo
Quy Xuan Ngo
Primary Mucoepidermoid Carcinoma of the Thyroid: A Report of a Rare Case with Bone Metastasis and Review of the Literature
Case Reports in Oncology
Mucoepidermoid carcinomas
Thyroid
Mucoepidermoid
Bone metastasis
title Primary Mucoepidermoid Carcinoma of the Thyroid: A Report of a Rare Case with Bone Metastasis and Review of the Literature
title_full Primary Mucoepidermoid Carcinoma of the Thyroid: A Report of a Rare Case with Bone Metastasis and Review of the Literature
title_fullStr Primary Mucoepidermoid Carcinoma of the Thyroid: A Report of a Rare Case with Bone Metastasis and Review of the Literature
title_full_unstemmed Primary Mucoepidermoid Carcinoma of the Thyroid: A Report of a Rare Case with Bone Metastasis and Review of the Literature
title_short Primary Mucoepidermoid Carcinoma of the Thyroid: A Report of a Rare Case with Bone Metastasis and Review of the Literature
title_sort primary mucoepidermoid carcinoma of the thyroid a report of a rare case with bone metastasis and review of the literature
topic Mucoepidermoid carcinomas
Thyroid
Mucoepidermoid
Bone metastasis
url https://www.karger.com/Article/FullText/498917
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AT duyquocngo primarymucoepidermoidcarcinomaofthethyroidareportofararecasewithbonemetastasisandreviewoftheliterature
AT quyxuanngo primarymucoepidermoidcarcinomaofthethyroidareportofararecasewithbonemetastasisandreviewoftheliterature