PAPILLARY THYROID CARCINOMA METASTASES TO STERNUM: A CASE REPORT AND LITERATURE REVIEW

Quốc Duy Ngô 1,2,, Đình Đức Nguyễn2, Xuân Quý Ngô 1
1 k hospital
2 Hanoi medical university

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Abstract

Introduction: Thyroid cancer is the common type of cancer and has been increasing. Surgery is a fundamenal treatment for its disease. Differentiated thyroid carcinoma consists of two subtypes, papillary and follicular carcinoma; papillary thyroid cancer in particular is the most common type which characterized by slow progression, mainly local development and frequent metastases to cervical lymph nodes. Papillary thyroid cancer with direct invasion or bone metastasis to the sternum is rarely reported in literature. Therfore, treatment for these patients is still controversial and challenging to clinicians. Presentation of case: A patient of papillary thyroid cancer with locally reccurrent and sternal metastases who underwent total thyroidectomy and  metastatic sternal lesion resection at K hospital. Discussion: In this report, clinical features and optimal treatment modalities for patient with metastatic sternal papillary thyroid cancer are discussed. Conclusion: Papillary carcinoma with metastasis in particular to the sternum is very rare, the treatment for this issue is still challenging. While, treatment strategies should be individualized, widely composite metastatic lesion resection with appropriate adjuvant therapy may offer patients a palliative and overall survival benefit. 

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References

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