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Cerebellar mass as a primary presentation of papillary thyroid carcinoma: case report and literature review.


ABSTRACT:

Background

Papillary carcinoma is the most common differentiated malignant thyroid neoplasm. The biological course of this cancer is typically indolent with a protracted clinical course. Metastases commonly occur in regional lymph nodes, and distant metastasis is a late and rare occurrence. We report a patient who presented with cerebellar metastasis prior to the diagnosis of papillary thyroid carcinoma and review the literature of brain metastasis from papillary thyroid carcinoma.

Results

A 75-year old female presented at the emergency room with progressive dizziness, headache and vomiting, where a brain CT and MRI showed a posterior cerebellar tumor. Surgical resection revealed papillary carcinoma consistent with thyroid origin. Subsequent ultrasound and CT-scan revealed a thyroid nodule, after which the patient underwent total thyroidectomy. Pathologic evaluation was consistent with papillary thyroid carcinoma.

Conclusion

Brain metastasis may rarely be the initial presentation of papillary thyroid carcinoma. Solitary brain metastasis can completely be resected with better prognosis.

SUBMITTER: Al-Dhahri SF 

PROVIDER: S-EPMC2712461 | biostudies-literature | 2009 Jun

REPOSITORIES: biostudies-literature

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Cerebellar mass as a primary presentation of papillary thyroid carcinoma: case report and literature review.

Al-Dhahri Saleh Fahad SF   Al-Amro Abdullah Sulieman AS   Al-Shakwer Wafa W   Terkawi Abdullah Sulieman AS  

Head & neck oncology 20090629


<h4>Background</h4>Papillary carcinoma is the most common differentiated malignant thyroid neoplasm. The biological course of this cancer is typically indolent with a protracted clinical course. Metastases commonly occur in regional lymph nodes, and distant metastasis is a late and rare occurrence. We report a patient who presented with cerebellar metastasis prior to the diagnosis of papillary thyroid carcinoma and review the literature of brain metastasis from papillary thyroid carcinoma.<h4>Re  ...[more]

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