Unusual cutaneous metastatic follicular thyroid carcinoma

Rahman, GA; Abdulkadir, AY; Olatoke, Samuel; Yusuf, IF; Braimoh, Kolawole Thomas

doi:10.4103/2006-8808.63724

Cited by 11 publications

(7 citation statements)

References 8 publications

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“…There was an unusual case of Hurthle cell carcinoma of the thyroid with cutaneous metastases to the right chest wall. Cutaneous metastases of thyroid carcinoma are infrequent [12,13,14] and FNA is an important method for rapid diagnosis of such lesions [12].There have been fewer than 30 case reports of cutaneous metastases of thyroid carcinoma in the literature with majority to head and neck. [12] Cutaneous malignancies are less commonly in malignancies such as leukemia and lymphoma .3 cases of secondary NHL skin were seen in our study.…”

Section: Resultsmentioning

confidence: 99%

Evaluation of Metastatic Cutaneous Lesions on Fine Needle Aspiration Cytology: A Five Year Study

Yasin¹,

Bashir²,

Khan³

2017

AABS

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Background: Cutaneous and subcutaneous metastatic deposits are rare and can be seen in 0.8-5% cases. This study was done to evaluate the role of Fine Needle Aspiration Cytology(FNAC) in the diagnosis of cutaneous and subcutaneous nodules in patients with known malignancy or as a primary manifestation of an unknown malignancy. Methods:It was a 5 year retrospective study and the record of patients subjected to FNAC during this period was reviewed.Results: Out of total number of 13572 patients 58(0.42%) were diagnosed as cutaneous /subcutaneous metastatic deposits .In 51 cases ,the primary was known and in 7 cases it was an initial manifestation of an unknown primary. There were 39 males and 19 females with age range of 27-82 years .Conclusion: Commonest site of metastases was chest wall and most common primary was lung. Adenocarcinoma was the commonest diagnosis on morphology. This study emphasizes the efficacy of FNAC on the accurate diagnosis of subcutaneous nodules especially in patients with known malignancy .It also offers clue to the underlying malignancy in occult primary.

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Section: Resultsmentioning

confidence: 99%

Evaluation of Metastatic Cutaneous Lesions on Fine Needle Aspiration Cytology: A Five Year Study

Yasin¹,

Bashir²,

Khan³

2017

AABS

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“…[17] The occurrence of follicular carcinoma of thyroid as a cutaneous metastasis over chest wall is rare as the usual sites of cutaneous metastasis is in head and neck region such as scalp, forehead and neck, but can also be seen in abdomen, back and thigh. [18,19] One of these six cases presented with cutaneous metastatic lesion in left thigh from carcinoma breast. There are eight different clinicopathological types of skin involvement from breast cancer such as inflammatory breast carcinoma, telangiectatic metastatic breast carcinoma, nodular metastatic carcinoma, alopecia neoplastica, breast carcinoma of inframammary crease, metastatatic mammary carcinoma of eyelid, Paget's disease and carcinoma en cuirasse.…”

Section: Discussionmentioning

confidence: 99%

Fine Needle Aspiration Cytology of Cutaneous Metastatic LesionsAClinico-Cytopathological Perspective in A Tertiary Hospital

Mohapatra¹,

Satyanarayana²,

Prakash³

et al. 2018

APALM

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“…There were only 12 reported cases of skull metastases out of 473 patients of thyroid cancer in one study, accounting for 2.5% of cases ( 8 ). Likewise cutaneous metastases from DTC are uncommon with less than 30 reported cases of cutaneous metastases in the English literature until 2010 ( 9 ). These cutaneous metastases are more common in head and neck region and can manifest in a variety of histological appearances ( 10 – 12 ).…”

Section: Discussionmentioning

confidence: 99%

Thyroid follicular carcinoma presenting as metastatic skin nodules

Jehangir

Pathak

Aryal

et al. 2015

Journal of Community Hospital Internal Medicine Perspectives

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BackgroundFollicular thyroid cancer (FTC) metastasizes most commonly to the lungs and non-cranial bones. Skull and skin are uncommon sites and usually manifest well after the diagnosis of primary malignancy. Metastasis to skull and skin as the presenting feature of FTC is infrequently reported in the literature.Case presentationA 65-year-old Caucasian woman with a history of thyroid nodule presented with the complaint of rapidly growing skull nodules which had been present for 3 years but were stable previously. She denied any fevers, chills, history of trauma, or weight loss. She denied any history of smoking or head and neck irradiation. On physical examination, she had two non-tender gray cystic lesions – one on her left temporal region and the other on the right parietal region. Biopsy was consistent with metastatic FTC. Magnetic resonance imaging of the brain demonstrated 7.1×3.8 cm and 3.7×4.5 cm fairly homogeneous, enhancing, relatively well-defined masses centered in the posterior and left anterior lateral calvarium with intracranial and extracranial extensions but without any vasogenic edema or mass effect on the brain. Thyroid ultrasound showed numerous nodules in both lobes. The patient underwent a total thyroidectomy. Histopathological studies of the thyroid gland revealed a well-differentiated FTC in the left lobe. Then she underwent resection of the tumor in multiple stages. She did not have any recurrence of the FTC or metastases during the follow-up period and will be receiving radioactive iodine treatment.ConclusionBone and lung are the common sites of metastasis from FTC, but involvement of skull or skin is unusual, particularly as the presenting feature. Metastases from FTC should be in the differential of patients with new osteolytic hypervascular skull lesions or cutaneous lesions in head and neck area.

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Unusual cutaneous metastatic follicular thyroid carcinoma

Cited by 11 publications

References 8 publications

Evaluation of Metastatic Cutaneous Lesions on Fine Needle Aspiration Cytology: A Five Year Study

Evaluation of Metastatic Cutaneous Lesions on Fine Needle Aspiration Cytology: A Five Year Study

Fine Needle Aspiration Cytology of Cutaneous Metastatic LesionsAClinico-Cytopathological Perspective in A Tertiary Hospital

Thyroid follicular carcinoma presenting as metastatic skin nodules

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