Korean Journal of Head & Neck Oncology (대한두경부종양학회지)

The Korean Society for Head and Neck Oncology (대한두경부종양학회)
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A Case of Solitary Metastatic Deposit in the Orbital Rim from Follicular Thyroid Cancer

단일성 안와 골병변으로 확인된 갑상선 여포암의 원격 전이 1예

  • Jeon, Gyeong Hwa (Department of Otorhinolaryngology-Head & Neck Surgery Soonchunhyang University College of Medicine) ;
  • Oh, Hyeon Seok (Department of Otorhinolaryngology-Head & Neck Surgery Soonchunhyang University College of Medicine) ;
  • Choi, In Ho (Department of Pathology Soonchunhyang University College of Medicine) ;
  • Byeon, Hyung Kwon (Department of Otorhinolaryngology-Head & Neck Surgery Soonchunhyang University College of Medicine)
  • 전경화 (순천향대학교 서울병원 이비인후과학교실) ;
  • 오현석 (순천향대학교 서울병원 이비인후과학교실) ;
  • 최인호 (순천향대학교 서울병원 병리과학교실) ;
  • 변형권 (순천향대학교 서울병원 이비인후과학교실)
  • Received : 2021.10.27
  • Accepted : 2021.11.10
  • Published : 2021.11.30
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Abstract

Follicular thyroid carcinoma (FTC) is the second most common thyroid cancer, following papillary carcinoma. Metastasis to the orbital rim from FTC is very rare. We recently experienced a case of FTC with metastasis to the orbital rim in a 74-year-old woman, who initially presented with a huge thyroid mass and an asymptomatic solitary orbital rim lesion. The solitary orbital rim lesion was suspected to be a separate disease entity such as lymphoma from the preoperative imaging, but bone metastasis from FTC was finally confirmed after orbital rim resection and total thyroidectomy. During follow-up, the patient presented multiple bone metastasis, so the solitary orbital rim lesion was considered a clinical sign of systemic metastasis from FTC. Therefore, we present this unique case with a review of the literature.

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References

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