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Unusual synchronous skeletal muscle and lung metastasis in papillary thyroid cancer: A case report and review of the literature

  • Authors:
    • Jun Yang
    • Lin-Fa Li
    • Xiu-Ming Zhang
    • Qin Xu
    • Jun  Zhang
    • Wan-Wen Weng
    • Meng-Jie Dong

  • View Affiliations

  • Published online on: November 27, 2014     https://doi.org/10.3892/ol.2014.2742
  • Pages: 727-730
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Abstract

Papillary thyroid cancer (PTC) frequently metastasizes to the cervical lymph region and less often to the lung and bone. Metastasis to the skeletal muscles from PTC is extremely rare, especially concurrent lung and skeletal muscle metastases. The present study reports the case of a 31‑year‑old man with synchronous metastasis to the skeletal muscle and lung from PTC, six years following total thyroidectomy and consecutive 131Iodine treatments. Magnetic resonance imaging (MRI) revealed a 1.7x1.2x1.5 cm mass in the left gastrocnemius muscle, indicating a neurogenic tumor. The mass was subsequently resected and confirmed via histopathology to be metastatic PTC. We propose that, in the follow‑up of patients with PTC, the measurable serum thyroglobulin level, whole body scan and other imaging modalities including MRI or positron emission tomography/computed tomography, must be closely monitored for potential distant metastases, particularly in cases of PTC with aggressive pathological behavior.
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February-2015
Volume 9 Issue 2

Print ISSN: 1792-1074
Online ISSN:1792-1082

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  • Impact Factor: 2.5
  • Ranked Oncology
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  • CiteScore: 5.7
  • CiteScore Rank: Q2: #139/404 Oncology
  • Source Normalized Impact per Paper (SNIP): 0.574
  • SCImago Journal Rank (SJR): 0.644
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Spandidos Publications style
Yang J, Li L, Zhang X, Xu Q, Zhang J, Weng W and Dong M: Unusual synchronous skeletal muscle and lung metastasis in papillary thyroid cancer: A case report and review of the literature. Oncol Lett 9: 727-730, 2015.
APA
Yang, J., Li, L., Zhang, X., Xu, Q., Zhang, J., Weng, W., & Dong, M. (2015). Unusual synchronous skeletal muscle and lung metastasis in papillary thyroid cancer: A case report and review of the literature. Oncology Letters, 9, 727-730. https://doi.org/10.3892/ol.2014.2742
MLA
Yang, J., Li, L., Zhang, X., Xu, Q., Zhang, J., Weng, W., Dong, M."Unusual synchronous skeletal muscle and lung metastasis in papillary thyroid cancer: A case report and review of the literature". Oncology Letters 9.2 (2015): 727-730.
Chicago
Yang, J., Li, L., Zhang, X., Xu, Q., Zhang, J., Weng, W., Dong, M."Unusual synchronous skeletal muscle and lung metastasis in papillary thyroid cancer: A case report and review of the literature". Oncology Letters 9, no. 2 (2015): 727-730. https://doi.org/10.3892/ol.2014.2742