Document Detail

Sciatica as a presenting feature of thyroid follicular adenocarcinoma in a 79-year-old woman.
MedLine Citation:
PMID:  22674960     Owner:  NLM     Status:  MEDLINE    
The authors describe an unusual case of metastatic thyroid follicular adenocarcinoma presenting with sciatica in a 79-year-old woman. The primary thyroid tumour was undiagnosed until this clinical presentation. The patient gave a short history of back pain and right-sided sciatica, which was progressive and nocturnal in nature. Neuroimaging revealed an enhancing intradural mass lesion, which was completely excised through a right L1-L3 hemilaminectomy. Histopathological examination of the excised tissue revealed a follicular thyroid carcinoma. Subsequent metastatic investigation revealed a heterogeneously attenuating mixed solid cystic mass in a retrosternal thyroid gland, with multiple solid pulmonary nodules suggestive of metastatic disease. She opted for palliative radiotherapy for the primary thyroid cancer and made remarkable postoperative improvement. The authors conclude that surgical treatment of solitary metastatic lesion may produce good symptomatic relief irrespective of patient's age and primary pathology, while emphasising the need for detailed clinical evaluation of patients with 'red flag' symptoms.
Elisha Ogbodo; Chandrasekaran Kaliaperumal; Catherine Keohane; Niamh Bermingham; George Kaar
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2011-12-01
Journal Detail:
Title:  BMJ case reports     Volume:  2011     ISSN:  1757-790X     ISO Abbreviation:  BMJ Case Rep     Publication Date:  2011  
Date Detail:
Created Date:  2012-06-07     Completed Date:  2013-11-05     Revised Date:  2013-12-05    
Medline Journal Info:
Nlm Unique ID:  101526291     Medline TA:  BMJ Case Rep     Country:  England    
Other Details:
Languages:  eng     Pagination:  -     Citation Subset:  IM    
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MeSH Terms
Adenocarcinoma, Follicular / complications,  secondary*,  surgery
Lumbar Vertebrae
Palliative Care*
Sciatica / etiology*
Spinal Cord Neoplasms / secondary*,  surgery
Thyroid Neoplasms / complications,  pathology*,  radiotherapy*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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