Metastatic papillary thyroid carcinoma to lung diagnosed by bronchoalveolar lavage
The diagnosis of papillary carcinoma of the thyroid metastatic to the lung frequently requires a battery of noninvasive tests. Occasionally, invasive procedures such as open lung biopsy, transthoracic needle biopsy, and transbronchial lung biopsy are employed to confirm the diagnosis. A 31-yr-old wo...
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| Veröffentlicht in: | The journal of clinical endocrinology and metabolism 1996, Vol.81 (1), p.406-410 |
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| container_issue | 1 |
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| container_title | The journal of clinical endocrinology and metabolism |
| container_volume | 81 |
| creator | MELLO, C. J VERONIKIS, I FRAIRE, A. E ARONIN, N IRWIN, R. S BRAVERMAN, L. E |
| description | The diagnosis of papillary carcinoma of the thyroid metastatic to the lung frequently requires a battery of noninvasive tests. Occasionally, invasive procedures such as open lung biopsy, transthoracic needle biopsy, and transbronchial lung biopsy are employed to confirm the diagnosis. A 31-yr-old woman with papillary thyroid carcinoma treated previously by a near-total thyroidectomy and 131I ablation presented to our clinic with shortness of breath and a clear chest roentgenogram. A post-131I treatment whole body scan revealed widespread 131I pulmonary uptake, and the presence of papillary thyroid cancer was confirmed by bronchoalveolar lavage. We conclude that bronchoalveolar lavage should be considered when tissue confirmation of metastatic papillary carcinoma to the lung is needed. During the evaluation and follow-up of this patient, we were able to determine that metastatic papillary carcinoma to the lung may cause a methacholine bronchoprovocation test to be falsely positive for asthma. |
| doi_str_mv | 10.1210/jc.81.1.406 |
| format | Article |
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J ; VERONIKIS, I ; FRAIRE, A. E ; ARONIN, N ; IRWIN, R. S ; BRAVERMAN, L. E</creator><creatorcontrib>MELLO, C. J ; VERONIKIS, I ; FRAIRE, A. E ; ARONIN, N ; IRWIN, R. S ; BRAVERMAN, L. E</creatorcontrib><description>The diagnosis of papillary carcinoma of the thyroid metastatic to the lung frequently requires a battery of noninvasive tests. Occasionally, invasive procedures such as open lung biopsy, transthoracic needle biopsy, and transbronchial lung biopsy are employed to confirm the diagnosis. A 31-yr-old woman with papillary thyroid carcinoma treated previously by a near-total thyroidectomy and 131I ablation presented to our clinic with shortness of breath and a clear chest roentgenogram. A post-131I treatment whole body scan revealed widespread 131I pulmonary uptake, and the presence of papillary thyroid cancer was confirmed by bronchoalveolar lavage. We conclude that bronchoalveolar lavage should be considered when tissue confirmation of metastatic papillary carcinoma to the lung is needed. During the evaluation and follow-up of this patient, we were able to determine that metastatic papillary carcinoma to the lung may cause a methacholine bronchoprovocation test to be falsely positive for asthma.</description><identifier>ISSN: 0021-972X</identifier><identifier>EISSN: 1945-7197</identifier><identifier>DOI: 10.1210/jc.81.1.406</identifier><identifier>PMID: 8550785</identifier><identifier>CODEN: JCEMAZ</identifier><language>eng</language><publisher>Bethesda, MD: Endocrine Society</publisher><subject>Adult ; Biological and medical sciences ; Bronchoalveolar Lavage Fluid - cytology ; Carcinoma, Papillary - diagnosis ; Carcinoma, Papillary - secondary ; Endocrinopathies ; Female ; Humans ; Lung Neoplasms - diagnosis ; Lung Neoplasms - secondary ; Medical sciences ; Non tumoral diseases. Target tissue resistance. Benign neoplasms ; Thyroid Neoplasms - pathology ; Thyroid. Thyroid axis (diseases)</subject><ispartof>The journal of clinical endocrinology and metabolism, 1996, Vol.81 (1), p.406-410</ispartof><rights>1996 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c313t-25328d8a7c5caa2cb48bc50994ccbe9a0b413bb370b5c0b00f51ffe04bfad02a3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,4010,27900,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2953373$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8550785$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>MELLO, C. J</creatorcontrib><creatorcontrib>VERONIKIS, I</creatorcontrib><creatorcontrib>FRAIRE, A. E</creatorcontrib><creatorcontrib>ARONIN, N</creatorcontrib><creatorcontrib>IRWIN, R. S</creatorcontrib><creatorcontrib>BRAVERMAN, L. E</creatorcontrib><title>Metastatic papillary thyroid carcinoma to lung diagnosed by bronchoalveolar lavage</title><title>The journal of clinical endocrinology and metabolism</title><addtitle>J Clin Endocrinol Metab</addtitle><description>The diagnosis of papillary carcinoma of the thyroid metastatic to the lung frequently requires a battery of noninvasive tests. Occasionally, invasive procedures such as open lung biopsy, transthoracic needle biopsy, and transbronchial lung biopsy are employed to confirm the diagnosis. A 31-yr-old woman with papillary thyroid carcinoma treated previously by a near-total thyroidectomy and 131I ablation presented to our clinic with shortness of breath and a clear chest roentgenogram. A post-131I treatment whole body scan revealed widespread 131I pulmonary uptake, and the presence of papillary thyroid cancer was confirmed by bronchoalveolar lavage. We conclude that bronchoalveolar lavage should be considered when tissue confirmation of metastatic papillary carcinoma to the lung is needed. During the evaluation and follow-up of this patient, we were able to determine that metastatic papillary carcinoma to the lung may cause a methacholine bronchoprovocation test to be falsely positive for asthma.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Bronchoalveolar Lavage Fluid - cytology</subject><subject>Carcinoma, Papillary - diagnosis</subject><subject>Carcinoma, Papillary - secondary</subject><subject>Endocrinopathies</subject><subject>Female</subject><subject>Humans</subject><subject>Lung Neoplasms - diagnosis</subject><subject>Lung Neoplasms - secondary</subject><subject>Medical sciences</subject><subject>Non tumoral diseases. Target tissue resistance. Benign neoplasms</subject><subject>Thyroid Neoplasms - pathology</subject><subject>Thyroid. 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E</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c313t-25328d8a7c5caa2cb48bc50994ccbe9a0b413bb370b5c0b00f51ffe04bfad02a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1996</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Bronchoalveolar Lavage Fluid - cytology</topic><topic>Carcinoma, Papillary - diagnosis</topic><topic>Carcinoma, Papillary - secondary</topic><topic>Endocrinopathies</topic><topic>Female</topic><topic>Humans</topic><topic>Lung Neoplasms - diagnosis</topic><topic>Lung Neoplasms - secondary</topic><topic>Medical sciences</topic><topic>Non tumoral diseases. Target tissue resistance. Benign neoplasms</topic><topic>Thyroid Neoplasms - pathology</topic><topic>Thyroid. Thyroid axis (diseases)</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>MELLO, C. J</creatorcontrib><creatorcontrib>VERONIKIS, I</creatorcontrib><creatorcontrib>FRAIRE, A. E</creatorcontrib><creatorcontrib>ARONIN, N</creatorcontrib><creatorcontrib>IRWIN, R. S</creatorcontrib><creatorcontrib>BRAVERMAN, L. E</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The journal of clinical endocrinology and metabolism</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>MELLO, C. J</au><au>VERONIKIS, I</au><au>FRAIRE, A. E</au><au>ARONIN, N</au><au>IRWIN, R. S</au><au>BRAVERMAN, L. E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Metastatic papillary thyroid carcinoma to lung diagnosed by bronchoalveolar lavage</atitle><jtitle>The journal of clinical endocrinology and metabolism</jtitle><addtitle>J Clin Endocrinol Metab</addtitle><date>1996</date><risdate>1996</risdate><volume>81</volume><issue>1</issue><spage>406</spage><epage>410</epage><pages>406-410</pages><issn>0021-972X</issn><eissn>1945-7197</eissn><coden>JCEMAZ</coden><abstract>The diagnosis of papillary carcinoma of the thyroid metastatic to the lung frequently requires a battery of noninvasive tests. Occasionally, invasive procedures such as open lung biopsy, transthoracic needle biopsy, and transbronchial lung biopsy are employed to confirm the diagnosis. A 31-yr-old woman with papillary thyroid carcinoma treated previously by a near-total thyroidectomy and 131I ablation presented to our clinic with shortness of breath and a clear chest roentgenogram. A post-131I treatment whole body scan revealed widespread 131I pulmonary uptake, and the presence of papillary thyroid cancer was confirmed by bronchoalveolar lavage. We conclude that bronchoalveolar lavage should be considered when tissue confirmation of metastatic papillary carcinoma to the lung is needed. During the evaluation and follow-up of this patient, we were able to determine that metastatic papillary carcinoma to the lung may cause a methacholine bronchoprovocation test to be falsely positive for asthma.</abstract><cop>Bethesda, MD</cop><pub>Endocrine Society</pub><pmid>8550785</pmid><doi>10.1210/jc.81.1.406</doi><tpages>5</tpages></addata></record> |
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| ispartof | The journal of clinical endocrinology and metabolism, 1996, Vol.81 (1), p.406-410 |
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| source | Oxford University Press Journals All Titles (1996-Current); MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Adult Biological and medical sciences Bronchoalveolar Lavage Fluid - cytology Carcinoma, Papillary - diagnosis Carcinoma, Papillary - secondary Endocrinopathies Female Humans Lung Neoplasms - diagnosis Lung Neoplasms - secondary Medical sciences Non tumoral diseases. Target tissue resistance. Benign neoplasms Thyroid Neoplasms - pathology Thyroid. Thyroid axis (diseases) |
| title | Metastatic papillary thyroid carcinoma to lung diagnosed by bronchoalveolar lavage |
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