Total En Bloc Lumbar Spondylectomy of Follicular Thyroid Carcinoma.
10.3340/jkns.2009.45.3.188
- Author:
Dae Jean JO
1
;
Jae Kyun JUN
;
Sung Min KIM
Author Information
1. Department of Neurosurgery, School of Medicine, Kyung Hee University, Seoul, Korea. spinekim@khu.ac.kr
- Publication Type:Case Report
- Keywords:
Thyroid carcinoma;
Total en bloc spondylectomy;
Metastasis
- MeSH:
Adenocarcinoma, Follicular;
Electrons;
Female;
Humans;
Low Back Pain;
Magnetic Resonance Spectroscopy;
Middle Aged;
Neoplasm Metastasis;
Spine;
Survival Rate;
Thyroid Gland;
Thyroid Neoplasms;
Thyroidectomy
- From:Journal of Korean Neurosurgical Society
2009;45(3):188-191
- CountryRepublic of Korea
- Language:English
-
Abstract:
The presence of distant metastases from differentiated thyroid carcinoma decreases the 10-year survival rates of patients by 50%. This is a report of a 61-year-old female with follicular thyroid carcinoma who presented initially with low back pain. 2-deoxy-2-[18F] fluoro-D-glucose whole-body positron emission tomography/computed tomography (PET/CT) demonstrated a hypointensity lesion in the left thyroid gland with malignant uptake in L1 vertebra and magnetic resonance images revealed paravertebral and epidural extension of mass in L1 vertebra. After thyroidectomy, histopathological study showed a follicular carcinoma. We performed L1 total en bloc spondylectomy with expandable cage for long-term local control. The technical details of total en bloc spondylectomy in follicular carcinoma are described herein.