학술논문

PRIMARY THYROID CARCINOMA AND THYROTOXICOSIS
Document Type
Article
Source
International Journal of Clinical Practice; October 1997, Vol. 51 Issue: 7 p471-473, 3p
Subject
Language
ISSN
13685031; 17421241
Abstract
A 60‐year‐old man noticed rapid enlargement of a long‐standing thyroid goitre, with dysphagia and difficulty in breathing. Thyrotoxicosis was diagnosed. Chest X‐ray revealed multiple pulmonary metastases. He underwent near‐total thyroidectomy. The histopathology revealed an undifferentiated thyroid carcinoma with some areas of papillary carcinoma and its follicular variant. Postoperative 131l total body scan showed residual thyroid tissue in the neck and one functioning metastasis in the right rib, posteriorly. The patient's condition deteriorated rapidly and he died from pneumonia. The autopsy showed widespread metastases of undifferentiated thyroid carcinoma. Only the right rib contained the follicular variant of papillary carcinoma.