Occult papillary carcinoma of the thyroid with distant metastases

It is well established that small clinically undetected thyroid carcinomas can produce extensive lymphatic metastases. However, occult papillary carcinoma of the thyroid presenting as a large blood‐borne metastasis and occult papillary carcinoma of the thyroid leading to death are both uncommon. The...

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Veröffentlicht in:Cancer 1984-09, Vol.54 (6), p.1093-1100
Hauptverfasser: Strate, Susan M., Lee, Edward L., Childers, John H.
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container_title Cancer
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creator Strate, Susan M.
Lee, Edward L.
Childers, John H.
description It is well established that small clinically undetected thyroid carcinomas can produce extensive lymphatic metastases. However, occult papillary carcinoma of the thyroid presenting as a large blood‐borne metastasis and occult papillary carcinoma of the thyroid leading to death are both uncommon. The authors report two unusual cases of clinically occult carcinoma of the thyroid. The first case is a 2.4 mm microscopic carcinoma presenting as a large solitary pulmonary metastasis, and is one of the smallest reported primary papillary thyroid carcinomas presenting as a distant hematogenous metastasis. The second case represents a lethal carcinoma with extensive metastases not diagnosed until autopsy. These two cases effectively illustrate that the absence of a clinically detectable thyroid abnormality does not exclude the possibility of extensive hematogenous and lymphatic metastases from a minute or undetected carcinoma of the thyroid.
doi_str_mv 10.1002/1097-0142(19840915)54:6<1093::AID-CNCR2820540628>3.0.CO;2-R
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These two cases effectively illustrate that the absence of a clinically detectable thyroid abnormality does not exclude the possibility of extensive hematogenous and lymphatic metastases from a minute or undetected carcinoma of the thyroid.</description><subject>Biological and medical sciences</subject><subject>Bone Marrow - pathology</subject><subject>Carcinoma, Papillary - pathology</subject><subject>Endocrinopathies</subject><subject>Female</subject><subject>Humans</subject><subject>Lung Neoplasms - pathology</subject><subject>Lung Neoplasms - secondary</subject><subject>Male</subject><subject>Malignant tumors</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Neoplastic Cells, Circulating</subject><subject>Thyroid Neoplasms - pathology</subject><subject>Thyroid. 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subjects Biological and medical sciences
Bone Marrow - pathology
Carcinoma, Papillary - pathology
Endocrinopathies
Female
Humans
Lung Neoplasms - pathology
Lung Neoplasms - secondary
Male
Malignant tumors
Medical sciences
Middle Aged
Neoplastic Cells, Circulating
Thyroid Neoplasms - pathology
Thyroid. Thyroid axis (diseases)
title Occult papillary carcinoma of the thyroid with distant metastases
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