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DOI: 10.1055/s-0043-1768664
Sellar-Parasellar and Petrous Bone Metastasis from Differentiated Thyroid Carcinoma: Imaging Characteristics and Follow-Up Profile Post Radioiodine Therapy
Autoren
Abstract
Sella turcica and petrous bone metastasis from differentiated thyroid carcinoma are rare clinical entities, with only a few limited cases reported to date. Two cases, one of sella turcica metastasis and the other of petrous bone metastasis from carcinoma of the thyroid gland, are presented. The cases diagnosed to have arisen from poorly differentiated thyroid carcinoma and follicular carcinoma of thyroid, respectively, subsequently underwent total thyroidectomy, radioiodine (RAI) scans and RAI therapies with iodine-131, external radiotherapy, and levothyroxine suppression with follow-up. Their clinical symptoms gradually subsided, with reduction in serum thyroglobulin, and finally resulted in disease stabilization. With the multimodality therapeutic approach, both patients are alive to date, with 48- and 60-month survival post diagnosis, respectively.
Keywords
sella - petrous apex - differentiated thyroid cancer - FDG - radioiodine - planar - SPECT/CT - PET/CTPublikationsverlauf
Artikel online veröffentlicht:
28. April 2023
© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
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References
- 1 Souza Mota J, de Sá Caldas A, de Araújo Cortês Nascimento AGP, Dos Santos Faria M, Pereira Sobral CS. Pituitary metastasis of thyroid carcinoma: a case report. Am J Case Rep 2018; 19: 896-902
- 2 Altay T, Krisht KM, Couldwell WT. Sellar and parasellar metastatic tumors. Int J Surg Oncol 2012; 2012: 647256
- 3 Max MB, Deck MD, Rottenberg DA. Pituitary metastasis: incidence in cancer patients and clinical differentiation from pituitary adenoma. Neurology 1981; 31 (08) 998-1002 [PubMed] [Google Scholar]
- 4 Simon N, Quyyumi SA, Rothman JG. Follicular thyroid cancer presenting as a sellar mass: case report and review of the literature. Endocr Pract 2004; 10 (01) 62-66
- 5 Yilmazlar S, Kocaeli H, Cordan T. Sella turcica metastasis from follicular carcinoma of thyroid. Neurol Res 2004; 26 (01) 74-78
- 6 Matsuno A, Murakami M, Hoya K. et al. Clinicopathological and molecular histochemical review of skull base metastasis from differentiated thyroid carcinoma. Acta Histochem Cytochem 2013; 46 (05) 129-136
- 7 Johnson PM, Atkins HL. Functioning metastasis of thyroid carcinoma in the sella turcica. J Clin Endocrinol Metab 1965; 25: 1126-1130
- 8 Thiagarajan S, Yousuf A, Shetty R. et al. Poorly differentiated thyroid carcinoma (PDTC) characteristics and the efficacy of radioactive iodine (RAI) therapy as an adjuvant treatment in a tertiary cancer care center. Eur Arch Otorhinolaryngol 2020; 277 (06) 1807-1814
- 9 Kumar NS, Basu S. 18F-FDG PET/CT demonstrating response to targeted therapy in synchronous metastatic adenocarcinoma of the lung and poorly differentiated carcinoma of the thyroid. Natl Med J India 2015; 28 (03) 155
- 10 Hsieh YJ, Lu TY, Ke CC. et al. Correlation of 18F-FDG uptake and thyroid cancer stem cells. Q J Nucl Med Mol Imaging 2020; 64 (04) 393-399
- 11 Redleaf MI, Bauman NM, Robinson RA, Gantz BJ. Medullary carcinoma of the thyroid metastatic to the temporal bone. J Laryngol Otol 1995; 109 (12) 1200-1203
- 12 Maddox III HE. Metastatic tumors of the temporal bone. Ann Otol Rhinol Laryngol 1967; 76 (01) 149-165
- 13 Belal Jr A. Metastatic tumours of the temporal bone. A histopathological report. J Laryngol Otol 1985; 99 (09) 839-846
- 14 Ota N, Kato K, Iwano S. et al. Comparison of 18F-fluoride PET/CT, 18F-FDG PET/CT and bone scintigraphy (planar and SPECT) in detection of bone metastases of differentiated thyroid cancer: a pilot study. Br J Radiol 2014; 87 (1034): 20130444
- 15 Shen J, Wang S, Zhao X. et al. Skull metastasis from follicular thyroid carcinoma: report of three cases and review of literature. Int J Clin Exp Pathol 2015; 8 (11) 15285-15293
- 16 Nagamine Y, Suzuki J, Katakura R, Yoshimoto T, Matoba N, Takaya K. Skull metastasis of thyroid carcinoma. Study of 12 cases. J Neurosurg 1985; 63 (04) 526-531
- 17 Rosahl SK, Erpenbeck V, Vorkapic P, Samii M. Solitary follicular thyroid carcinoma of the skull base and its differentiation from ectopic adenoma–review, use of galectin-3 and report of a new case. Clin Neurol Neurosurg 2000; 102 (03) 149-155