Metastatic thyroid follicular carcinoma of masticator space.
- Author:
Tae In GANG
1
;
Min Suk HEO
;
Chang Hyeon AN
;
Mi CHOI
;
Sam Sun LEE
;
Soon Chul CHOI
;
Tae Won PARK
Author Information
1. Department of Oral and Maxillofacial Radiology and Dental Research Institute, College of Dentistry, Seoul National University, Korea.
- Publication Type:Case Report
- Keywords:
neoplasm metastasis;
masticator space;
follicular carcinoma
- MeSH:
Colloids;
Female;
Head;
Humans;
Liver;
Lung;
Middle Aged;
Neoplasm Metastasis;
Thyroid Gland*;
Thyroid Neoplasms;
Tomography, X-Ray Computed
- From:Korean Journal of Oral and Maxillofacial Radiology
2002;32(3):175-179
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Follicular carcinomas are the second most common form of thyroid cancer, accounting for 10 to 20% of all thyroid cancers. Follicular carcinomas have a propensity to metastasize via the bloodstream, spreading to bone, lungs, liver, and elsewhere. We described the case of a 48-year-old woman who presented with swelling of the left preauricular area, which was a consequence of a metastatic follicular carcinoma of the masticator space. Plain films showed illdefined erosive bony changes from the left condylar head to the mandibular notch. Contrast-enhanced CT images showed a well circumscribed round mass with well enhancement within left masticator space. On MR images, the mass was heterogenously hyperintense to the muscle on T2-weighted images and isointense or hyperintense to the muscle on T1-weighted images, and showed good enhancement on contrast-enhanced T1-weighted images. Upon microscopic examination, the metastatic mass was found to be composed of fairly uniform cells forming small follicles containing colloid, showing capsular and vascular invasion.