Abstract
Differentiated thyroid cancer is considered to have a quite favorable prognosis. However, some patients die as a result of distant metastasis, which mainly consists of pulmonary, mediastinal, or osteal metastases. The biological features of the tumor, such as a slow growth gradient, indicate the possibility of achieving comparatively satisfactory results in the treatment of such distant metastases. A complete surgical excision of the distant metastases in differentiated thyroid carcinoma has been reported to offer the best chance for prolonged survival. A case of unusual metastasis sites on the caudate lobe of the liver and right kidney occurring in a 72-year-old woman is herein presented. The location of the surgically treated distant metastases of the papillary thyroid carcinoma make this case unique.
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References
Wood WJ, Singletary SE, Hickey RC (1989) Current results of treatment for distant metastatic well-differentiated thyroid carcinoma. Arch Surg 124:1374–1377
Mizukami Y, Michigishi T, Nonomura A, Hashimoto T, Terahata S, Noguchi M, Hisada K, Matsubara F (1990) Distant metastases in differentiated thyroid carcinoma: A clinical and pathologic study. Hum Pathol 21:283–290
Harness JK, Thompson NW, Sisson JC, Beierwaltes WH (1974) Differentiated thyroid carcinomas. Treatment of distant metastases. Arch Surg 108:410–417
Niederle B, Roka R, Schemper M, Fritsch A, Weissel M, Ramach W (1986) Surgical treatment of distant metastases in differentiated thyroid cancer: Indications and results. Surgery 100:1088–1096
Silliphant WM, Klinck GH, Levitin MS (1964) Thyroid carcinoma and death. A clinicopathological study of 193 autopsies. Cancer 17:513–525
Davis RI, Corson JM (1979) Renal metastases from well differentiated follicular thyroid carcinoma. A case report with light and electron microscopic findings. Cancer 43:265–268
Johnson M, Morettin LB, Sarles HE, Zaharopoulos P (1982) Follicular carcinoma of the thyroid metastatic to the kidney 37 years after resection of the primary tumor. J Urol 127:114–116
Sasaki F, Takada N, Tamura M, Takahashi H, Hamada H, Okawa Y, Saiki I, Hata Y, Uchino J (1993) Four resected cases of thyroid cancer with distant metastasis (in Japanese with English abstract). J Jpn Soc Clin Surg 54:70–74
Beierwaltes WH, Nishiyama RH, Thompson NW, Coop JE, Kubo A (1982) Survival time and “cure” in papillary and follicular thyroid carcinoma with distant metastases: Statistics following University of Michigan Therapy. J Nucl Med 23:561–568
Silverberg SG, Hutter RVP, Foote FW (1970) Fatal carcinoma of the thyroid: Histology, metastases and causes of death. Cancer 25:792–802
Ezaki H, Ebihara S, Fujimoto Y, Iida F, Ito K, Kuma K, Izuo M, Makiuchi M, Oyamada H, Matoba N, Yagawa K (1992) Analysis of thyroid carcinoma based on material registered in Japan during 1977–1986 with special reference to predominance of papillary type. Cancer 70:808–814
Heitz P, Moser H, Staub JJ (1976) Thyroid cancer. A study of 573 thyroid tumors and 161 autopsy cases observed over a thirty-year period. Cancer 37:2329–2337
Shan JP, Lorce TR, Dharker D, Strong EW, Begg C, Vlamis V (1992) Prognostic factors in differentiated carcinoma of the thyroid gland. Am J Surg 164:658–661
Kukkonen ST, Haapiainen RK, Franssila KO, Sivula AH (1990) Papillary thyroid carcinoma: The new, age-related TNM classification system in a retrospective analysis of 199 patients. World J Surg 14:837–842
Iwasaki H, Matsumoto A, Ito K, Kure Y, Suzuki A, Sugino K, Ozaki O, Noh J (1990) Prediction of distant metastasis in follicular adenocarcinoma of the thyroid. World J Surg 14:425–430
Coburn MC, Wanebo HJ (1992) Prognostic factors and management considerations in patients with cervical metastases of thyroid cancer. Am J Surg 164:671–676
Dodds WJ, Erickson SJ, Taylor AJ, Lawson TL, Stewart ET (1990) Caudate lobe of the liver: Anatomy, embryology, and pathology. Am J Roentgenol 154:87–93
Takayama T, Makuuchi M, Kosuge T, Yamazaki S, Hasegawa H, Takayama J, Takayasu K, Moriyama N (1991) A hepatoblastoma originating in the caudate lobe radically resected with the inferior vena cava. Surgery 109:208–213
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Tur, G.E., Asanuma, Y., Sato, T. et al. Resection of metastatic thyroid carcinomas to the liver and the kidney: Report of a case. Surg Today 24, 844–848 (1994). https://doi.org/10.1007/BF01636320
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DOI: https://doi.org/10.1007/BF01636320