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Case Report
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| Uncommon metastasis to thyroid gland presenting as a thyroid nodule | ||||||
| Somnath Gooptu1, Surendra Sharma1, Gurjit Singh2, Iqbal Ali3 | ||||||
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1Resident, Department of Gen. Surgery, Padm. Dr. D. Y. Patil Medical College, Pimpri, Pune, Maharashtra, India.
2Professor, Department of Gen. Surgery, Padm. Dr. D. Y. Patil Medical College, Pimpri, Pune, Maharashtra, India. 3Associate Professor, Department of Gen. Surgery, Padm. Dr. D. Y. Patil Medical College, Pimpri, Pune, Maharashtra, India. | ||||||
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| How to cite this article: |
| Gooptu S, Sharma S, Singh G, Ali I. Uncommon metastasis to thyroid gland presenting as a thyroid nodule. International Journal of Case Reports and Images 2013;4(11):615–618. |
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Abstract
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Introduction:
Metastatic spread to the thyroid is not common in spite of the fact that it has a high vascularity. It is a rare situation especially in an individual without a prior history of malignancy. Thyroid gland is not the common site of metastasis in case of an esophageal malignancy.
Case Report: A 60-year-old female was presented to our hospital with a solitary thyroid nodule involving the left lobe with cervical lymphadenopathy. There were no clinical features of hypothyroidism or hyperthyroidism. However, laboratory investigations revealed hypothyroid state. Patient was started on thyroxine 100 mg daily. Fine needle aspiration cytology (FNAC) revealed the presence of squamous cell deposits. On further investigating by upper gastrointestinal endoscopy, an ulcerative growth was detected 20 cm from the incisors. Biopsy from the growth confirmed the diagnosis of squamous cell carcinoma of the esophagus. Patient was treated with chemoradiation. Conclusion: All atypical neck masses have to be thoroughly investigated as all neck masses may not be related to primary thyroid conditions. This will result in avoiding unnecessary thyroidectomies instead of treating primary pathology. | |
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Keywords:
Thyroid metastasis, Esophagus, Fine needle aspiration cytology (FNAC), Squamous cell, Thyroid nodule, Hypothyroidism, Hyperthyroidism
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Author Contributions
Somnath Gooptu – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published Surendra Sharma – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published Gurjit Singh – Acquisition of data, Analysis and interpretation of data, Drafting the article. Final approval of the version to be published Iqbal Ali – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© Somnath Gooptu et al. 2013; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.) |
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