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A Case of Patella Metastasis of Papillary Thyroid Carcinoma  

Han, Eun-Ji (Department of Radiology, College of Medicine, The Catholic University of Korea)
Choi, Woo-Hee (Department of Radiology, College of Medicine, The Catholic University of Korea)
Chung, Yong-An (Department of Radiology, College of Medicine, The Catholic University of Korea)
Sohn, Hyung-Sun (Department of Radiology, College of Medicine, The Catholic University of Korea)
Kang, Chang-Suk (Department of Clinical Pathology, College of Medicine, The Catholic University of Korea)
Publication Information
Nuclear Medicine and Molecular Imaging / v.43, no.1, 2009 , pp. 79-82 More about this Journal
Abstract
A 73-year-old man presented with a chief complaint of progressive left knee pain for two months. He had a history of total thyroidectomy and central lymph node dissection due to papillary thyroid carcinoma three months ago. MRI images revealed a solid mass in the left patella. A solid mass demonstrated low signal on T1 weighed image, and high signal on T2 weighed image. And whole body bone scan showed focal photon defect in same lesion of left patella. The histologic result of left knee lesion was adenocarcinoma, consistent with metastatic papillary thyroid carcinoma. Although patellar metastasis of papillary thyroid carcinoma is very rare, when knee pain and radiologic abnormality are noted, differential diagnosis of metastasis is necessary.
Keywords
Papillary thyroid carcinoma; bone metastasis;
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1 Lawrence E, Lord ST, Leon Y, McIntyre PJ, Penix J, Grebenev D, et al. Tall cell papillary thyroid carcinoma metastatic to femur: evidence for thyroid hormone synthesis within the femur. Am J Med Sci 2001;322:103-8   DOI   ScienceOn
2 Eroglu A, Karaoglanoglu N, Bilen H, Gursan N. Follicular thyroid carcinoma: metastasis to the sternum, 13 years after total thyroidectomy. Int J Clin Pract 2006;60:1506-8   DOI   ScienceOn
3 Schlumberger MJ. Papillary and follicular thyroid carcinoma. N Engl J Med 1998;338:297-306   DOI   ScienceOn
4 Fred A, Miton J. Essentialls of Nuclear Medicine Imaging. 5th ed. Philadelphia. Saunders; 2006. p. 244-92
5 Fred A, Milton J. Skeletal system. In: Essentials of Nuclear Medicine Imaging: Saunders; 2006. p. 244-292
6 Kransdorf MJ, Moser RP, Jr., Vinh TN, Aoki J, Callaghan JJ. Primary tumors of the patella. A review of 42 cases. Skeletal Radiol 1989;18:365-71   DOI   ScienceOn
7 Jemal A, Siegel R, Ward E, Murray T, Xu J, Thun MJ. Cancer statistics, 2007. CA Cancer J Din 2007;57:43-66   DOI   ScienceOn
8 Pittas AG, Adler M, Fazzari M, Tickoo S, Rosai J, Larson SM, et al. Bone metastases from thyroid carcinoma: clinical characteristics and prognostic variables in one hundred forty-six patients. Thyroid 2000;10:261-8   DOI   ScienceOn
9 Do MY, Rhee Y, Kim DJ, Kim CS, Nam KH, Ahn CW, et al. Clinical features of bone metastases resulting from thyroid cancer: a review of 28 patients over a 20-year period. Endocr J 2005;52:701-7   DOI   ScienceOn