Concurrent Hip Pain and Skull Lump as the First Manifestations of a Silent Follicular Thyroid Carcinoma

Follicular thyroid carcinoma is a slowly growing cancer with a generally good long-term prognosis. Distant metastasis from follicular thyroid cancer usually occurs in the lung and bones following a long period after diagnosis and treatment for primary cancer. Occult skull metastasis as the first pre...

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Main Authors: Kunta Setiaji, Widya Surya Avanti, Hanggoro Tri Rinonce, Sumadi Lukman Anwar
Format: Article
Language:English
Published: MDPI AG 2020-09-01
Series:Reports
Subjects:
Online Access:https://www.mdpi.com/2571-841X/3/4/27
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author Kunta Setiaji
Widya Surya Avanti
Hanggoro Tri Rinonce
Sumadi Lukman Anwar
author_facet Kunta Setiaji
Widya Surya Avanti
Hanggoro Tri Rinonce
Sumadi Lukman Anwar
author_sort Kunta Setiaji
collection DOAJ
description Follicular thyroid carcinoma is a slowly growing cancer with a generally good long-term prognosis. Distant metastasis from follicular thyroid cancer usually occurs in the lung and bones following a long period after diagnosis and treatment for primary cancer. Occult skull metastasis as the first presentation at diagnosis from follicular thyroid cancer is relatively rare. A 51-year-old woman presented with intermittent pain in her right hip that was treated due to the intensely progressed pain, motor weakness, and difficulty walking. The patient was then referred due to swelling in the forehead. Further evaluation revealed that the frontal swelling and the pathological femoral fractures were manifestations of distant metastases from follicular thyroid cancer. In the presence of swelling in the skull, the metastatic lesion should be considered as a differential diagnosis from a silent primary cancer. This report will be beneficial for general practitioners, surgeons, and internists to recognize unusual distant metastatic manifestations from silent differentiated thyroid cancer.
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spelling doaj.art-f14a2e790a0e43699393f5203bf787192023-11-20T14:51:04ZengMDPI AGReports2571-841X2020-09-01342710.3390/reports3040027Concurrent Hip Pain and Skull Lump as the First Manifestations of a Silent Follicular Thyroid CarcinomaKunta Setiaji0Widya Surya Avanti1Hanggoro Tri Rinonce2Sumadi Lukman Anwar3Division of Surgical Oncology—Department of Surgery—Dr. Sardjito Hospital/Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta 55281, IndonesiaDepartment of Radiology, Dr. Sardjito Hospital/Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta 55281, IndonesiaDepartment of Anatomical Pathology, Dr. Sardjito Hospital/Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta 55281, IndonesiaDivision of Surgical Oncology—Department of Surgery—Dr. Sardjito Hospital/Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta 55281, IndonesiaFollicular thyroid carcinoma is a slowly growing cancer with a generally good long-term prognosis. Distant metastasis from follicular thyroid cancer usually occurs in the lung and bones following a long period after diagnosis and treatment for primary cancer. Occult skull metastasis as the first presentation at diagnosis from follicular thyroid cancer is relatively rare. A 51-year-old woman presented with intermittent pain in her right hip that was treated due to the intensely progressed pain, motor weakness, and difficulty walking. The patient was then referred due to swelling in the forehead. Further evaluation revealed that the frontal swelling and the pathological femoral fractures were manifestations of distant metastases from follicular thyroid cancer. In the presence of swelling in the skull, the metastatic lesion should be considered as a differential diagnosis from a silent primary cancer. This report will be beneficial for general practitioners, surgeons, and internists to recognize unusual distant metastatic manifestations from silent differentiated thyroid cancer.https://www.mdpi.com/2571-841X/3/4/27follicular carcinomathyroidsilent cancerdiagnosismetastasis
spellingShingle Kunta Setiaji
Widya Surya Avanti
Hanggoro Tri Rinonce
Sumadi Lukman Anwar
Concurrent Hip Pain and Skull Lump as the First Manifestations of a Silent Follicular Thyroid Carcinoma
Reports
follicular carcinoma
thyroid
silent cancer
diagnosis
metastasis
title Concurrent Hip Pain and Skull Lump as the First Manifestations of a Silent Follicular Thyroid Carcinoma
title_full Concurrent Hip Pain and Skull Lump as the First Manifestations of a Silent Follicular Thyroid Carcinoma
title_fullStr Concurrent Hip Pain and Skull Lump as the First Manifestations of a Silent Follicular Thyroid Carcinoma
title_full_unstemmed Concurrent Hip Pain and Skull Lump as the First Manifestations of a Silent Follicular Thyroid Carcinoma
title_short Concurrent Hip Pain and Skull Lump as the First Manifestations of a Silent Follicular Thyroid Carcinoma
title_sort concurrent hip pain and skull lump as the first manifestations of a silent follicular thyroid carcinoma
topic follicular carcinoma
thyroid
silent cancer
diagnosis
metastasis
url https://www.mdpi.com/2571-841X/3/4/27
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