Abstract
A 40-year-old lady presented with a history of swelling in the front of her neck for 12 years which had gradually increased in size. She had undergone right hemithyroidectomy in 2007 in another center. She had developed back ache and on evaluation was found to have lytic lesion in sacrum. Biopsy from sacral lesion had revealed metastatic PTC. Subsequent FDG PET showed an avid tumor in the left lobe of thyroid, lung, and sacrum. She had received Zoledronic infusion and palliative RT to sacrum in 2009. On examination, she had a collar scar which was well healed and a left lobe thyroid swelling measuring 4 × 3 cm. Pulmonary function tests showed restrictive disease. CECT showed large lesion in left upper lobe near hila and multiple nodules in both lobes. She underwent completion total thyroidectomy (+CCLND). She had respiratory distress after 6 h of surgery and had to be shifted to Post-Op ICU, was intubated and put on SIMV ventilator support. She was successfully weaned off the ventilatory support after 3 days and discharged. Subsequently, she received high dose of RAI therapy with close monitoring of her pulmonary function tests (Figs. 1, 2, and 3).
Amit Agarwal is the lead author of this chapter.
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Agarwal, A., Fernando, R., Parameswaran, R., Mishra, A., Pradhan, R. (2023). Papillary Thyroid Cancer Presenting with Lung Metastases. In: Case Studies in Thyroid and Parathyroid Tumors. Springer, Singapore. https://doi.org/10.1007/978-981-99-0938-4_76
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DOI: https://doi.org/10.1007/978-981-99-0938-4_76
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