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SACRAL BONE METASTASES AS A PRESENTATION OF PAPILLARY THYROID MICROCARCINOMA-A RARE CASE REPORT


Kavitha Manoharan, Shantha Ravishankar
,
Abstract
Thyroid carcinoma usually presents as a diffuse or nodular neck lump and it comprises 1% of all malignancies . Distant metastasis in Papillary carcinoma is uncommon like follicular thyroid carcinoma .We present a case of papillary thyroid microcarcinoma presenting as a pelvic bone metastasis. A 65-year old female was found on computerized tomography to have an finding of 6cm soft tissue mass in the left side of sacrum bone. Biopsy from the lesion confirmed metastatic follicular variant thyroid carcinoma. Head and neck examination was normal and there was no history of a neck swelling. Further imaging confirmed nodule in the left lower lobe of thyroid measuring 1x0.8cm. Ultrasound guided fine needle aspiration from thyroid nodule confirmed papillary carcinoma thyroid. And immunohistochemistry done on biopsy confirmed metastatic papillary carcinoma thyroid. The Papillary microcarcinoma is usually non-invasive. But this case report emphasised clinically significant bone metastasis can arise from papillary microcarcinoma (PMC ).
Keywords: Thyroid, Papillary, Bone, Metastasis
Journal Name :
EPRA International Journal of Multidisciplinary Research (IJMR)

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Published on : 2023-12-25

Vol : 9
Issue : 12
Month : December
Year : 2023
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