A Case of Pleural Metastasis from Papillary Tthyroid Carcinoma.
10.4046/trd.2007.63.2.188
- Author:
Jaeheon JEONG
1
;
Sang Yun SHIN
;
Myoung Kyun SON
;
Young Joo LEE
;
Se Hyun KIM
;
Jeong Hae KIE
;
Yoon Jung CHOI
;
Yong Kook HONG
;
Chang Hoon HAHN
;
Sun Min LEE
;
Chong Ju KIM
Author Information
1. Department of Internal Medicine, National Health Insurance Corporation Ilsan Hospital, Koyang, Korea. kom2d@netsgo.com
- Publication Type:Case Report
- Keywords:
Papillary thyroid carcinoma;
Pleural metastasis;
Malignant pleural effusion
- MeSH:
Aged, 80 and over;
Biopsy;
Biopsy, Needle;
Breast;
Breast Neoplasms;
Dyspnea;
Female;
Humans;
Lung Neoplasms;
Lymphoma;
Needles;
Neoplasm Metastasis*;
Pleural Effusion;
Pleural Effusion, Malignant;
Thyroid Gland;
Thyroid Neoplasms;
Ultrasonography
- From:Tuberculosis and Respiratory Diseases
2007;63(2):188-193
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Lung cancer, breast cancer and lymphoma are the common oncologic causes of malignant pleural effusion, comprising more than the half of the causes. However, an endocrinologic carcinoma associated malignant effusion is very rare. Recently, we encountered a case of papillary thyroid carcinoma causing malignant effusion. An 83-year-old female patient presented with dyspnea due to massive pleural effusion in her left side. The pleural biopsy, pleural fluid cytology and breast needle aspiration biopsy results were consistent with a metastatic papillary thyroid carcinoma. Thyroid ultrasonography showed two thyroid masses, but the patient refused a thyroid biopsy. This case highlights the need for considering the possibility of papillary thyroid carcinoma when the cause of malignant pleural effusion cannot be found because one of the rare clinical manifestations of a papillary thyroid carcinoma can be dyspnea due to malignant effusion.
