Unusual presentation of medullary thyroid carcinoma: Regional and distant metastases in the background of benign non-neoplastic Multi-Nodular Goiter

Background: Medullary Thyroid Carcinoma (MTC) is a malignancy that primarily arises from the C-cells of the thyroid gland with a tendency to regional and distant metastases. Methods: We report a case of a 34-year-old female with MTC where there was no evidence of primary foci of the disease within t...

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Main Authors: Samiah S. Al-Angari, Mohammed AlEssa, Tariq Al-Johani
Format: Article
Language:English
Published: Elsevier 2018-03-01
Series:Otolaryngology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S246854881730036X
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author Samiah S. Al-Angari
Mohammed AlEssa
Tariq Al-Johani
author_facet Samiah S. Al-Angari
Mohammed AlEssa
Tariq Al-Johani
author_sort Samiah S. Al-Angari
collection DOAJ
description Background: Medullary Thyroid Carcinoma (MTC) is a malignancy that primarily arises from the C-cells of the thyroid gland with a tendency to regional and distant metastases. Methods: We report a case of a 34-year-old female with MTC where there was no evidence of primary foci of the disease within the thyroid gland, while there was a widespread metastasis in the cervical lymph nodes, lungs, abdomen, and vertebrae. Results: The patient was diagnosed with metastatic sporadic MTC based on the pre-operative work up. She underwent completion thyroidectomy with bilateral neck dissection levels II-VI. The post-operative histopathology report confirmed the diagnosis. Conclusion: The case report shows an unusual presentation of MTC. It demonstrates that there is an entity of metastatic sporadic MTC, confirmed by an abnormal calcitonin level, with unknown primary.
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spelling doaj.art-8b55f258017c4789850592b20e7d39c42022-12-22T02:52:33ZengElsevierOtolaryngology Case Reports2468-54882018-03-016C313310.1016/j.xocr.2017.12.003Unusual presentation of medullary thyroid carcinoma: Regional and distant metastases in the background of benign non-neoplastic Multi-Nodular GoiterSamiah S. Al-Angari0Mohammed AlEssa1Tariq Al-Johani2Department of Otolaryngology – Head & Neck Surgery, College of Medicine, King Saud University, Riyadh, Saudi ArabiaDepartment of Otolaryngology – Head & Neck Surgery, College of Medicine, King Saud University, Riyadh, Saudi ArabiaDepartment of Pathology, College of Medicine, King Saud University, Riyadh, Saudi ArabiaBackground: Medullary Thyroid Carcinoma (MTC) is a malignancy that primarily arises from the C-cells of the thyroid gland with a tendency to regional and distant metastases. Methods: We report a case of a 34-year-old female with MTC where there was no evidence of primary foci of the disease within the thyroid gland, while there was a widespread metastasis in the cervical lymph nodes, lungs, abdomen, and vertebrae. Results: The patient was diagnosed with metastatic sporadic MTC based on the pre-operative work up. She underwent completion thyroidectomy with bilateral neck dissection levels II-VI. The post-operative histopathology report confirmed the diagnosis. Conclusion: The case report shows an unusual presentation of MTC. It demonstrates that there is an entity of metastatic sporadic MTC, confirmed by an abnormal calcitonin level, with unknown primary.http://www.sciencedirect.com/science/article/pii/S246854881730036XMedullary thyroid carcinomaThyroidMetastasisUnknown primaryGoiter
spellingShingle Samiah S. Al-Angari
Mohammed AlEssa
Tariq Al-Johani
Unusual presentation of medullary thyroid carcinoma: Regional and distant metastases in the background of benign non-neoplastic Multi-Nodular Goiter
Otolaryngology Case Reports
Medullary thyroid carcinoma
Thyroid
Metastasis
Unknown primary
Goiter
title Unusual presentation of medullary thyroid carcinoma: Regional and distant metastases in the background of benign non-neoplastic Multi-Nodular Goiter
title_full Unusual presentation of medullary thyroid carcinoma: Regional and distant metastases in the background of benign non-neoplastic Multi-Nodular Goiter
title_fullStr Unusual presentation of medullary thyroid carcinoma: Regional and distant metastases in the background of benign non-neoplastic Multi-Nodular Goiter
title_full_unstemmed Unusual presentation of medullary thyroid carcinoma: Regional and distant metastases in the background of benign non-neoplastic Multi-Nodular Goiter
title_short Unusual presentation of medullary thyroid carcinoma: Regional and distant metastases in the background of benign non-neoplastic Multi-Nodular Goiter
title_sort unusual presentation of medullary thyroid carcinoma regional and distant metastases in the background of benign non neoplastic multi nodular goiter
topic Medullary thyroid carcinoma
Thyroid
Metastasis
Unknown primary
Goiter
url http://www.sciencedirect.com/science/article/pii/S246854881730036X
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AT mohammedalessa unusualpresentationofmedullarythyroidcarcinomaregionalanddistantmetastasesinthebackgroundofbenignnonneoplasticmultinodulargoiter
AT tariqaljohani unusualpresentationofmedullarythyroidcarcinomaregionalanddistantmetastasesinthebackgroundofbenignnonneoplasticmultinodulargoiter