Brain Metastases of Papillary Thyroid Carcinoma with Horner's Syndrome.
10.14791/btrt.2014.2.2.132
- Author:
Sung Hoon CHO
1
;
Sang Hyo KIM
;
Jung Hwan LEE
;
Won Il JOO
;
Chung Kee CHOUGH
;
Hae Kwan PARK
;
Kyung Jin LEE
;
Hyoung Kyun RHA
Author Information
1. Department of Neurosurgery, College of Medicine, The Catholic University of Korea, Yeouido St. Mary's Hospital, Seoul, Korea. jwi@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Papillary thyroid carcinoma;
Metastases;
Horner syndrome;
Treatment
- MeSH:
Brain*;
Central Nervous System;
Female;
Horner Syndrome*;
Humans;
Lung;
Lymph Nodes;
Magnetic Resonance Angiography;
Magnetic Resonance Imaging;
Middle Aged;
Neoplasm Metastasis*;
Physical Examination;
Prognosis;
Spine;
Thyroid Gland;
Thyroid Neoplasms*
- From:Brain Tumor Research and Treatment
2014;2(2):132-137
- CountryRepublic of Korea
- Language:English
-
Abstract:
Papillary thyroid carcinoma (PTC) is the most common type of thyroid malignancy and has relatively favorable prognosis. Blood-borne metastases of PTC are very rare among the thyroid malignancies. Moreover a case of blood-borne central nervous system metastasized PTC with only unilateral Horner's syndrome, and without any abnormalities in laboratory or physical examinations has not been described before. A 53-year-old female patient had been managed in ophthalmologic clinic due to vague symptoms of right monocular blurred vision with eye dryness for 3 months, but showed no signs of improvement. So it was performed a magnetic resonance imaging and magnetic resonance angiography to evaluate the possibilities of cerebral lesion. And a left frontal mass was incidentally found, and the tumor turned out to be a PTC that had metastasized to brain, regional lymph node, cervical, thoracic spine, and lung. We describe a PTC with extraordinary initial symptoms that metastasized to an unusual site. We recommend that if a papillary thyroid tumor with unusual symptoms or at an advanced stage is found, further investigation should be performed for distant metastasis.
