Spinal Cord Compression as Initial Presentation of Follicular Thyroid Carcinoma

2007 ◽  
Vol 41 (4) ◽  
pp. 269 ◽  
Author(s):  
Dae Ki Kim ◽  
Cheol Su Jwa ◽  
Kang Hyun Kim ◽  
Jae Kyu Kang
2014 ◽  
Vol 5 (02) ◽  
pp. 155-159 ◽  
Author(s):  
Md Nuruzzaman Khan ◽  
AMSM Sharfuzzaman ◽  
Md Golam Mostafa

ABSTRACTMetastatic tumors are the most common tumors of the spine, accounting for 98% of all spine lesions. But spinal cord compression as the initial presentation of metastatic occult follicular carcinoma without any thyroid enlargement is unusual and relatively rare. This report describes a 35-years-old female patient presenting with paraplegia and urinary incontinence for the last two months. She had no thyroid enlargement; no thyroid related symptoms and her biochemical thyroid profile was normal. Magnetic resonance imaging (MRI) of spine shows a huge mass compressing the spinal cord at D11-D12 involving both the spinal and paraspinal areas. The patient was treated by surgery and radioiodine ablation as the histopathology showed metastatic follicular thyroid carcinoma. This case was reported because of the rarity of the disease. Early diagnosis and initiation of the treatment should promise a good prognosis for a patient with metastatic spinal cord compression.


2020 ◽  
Vol 11 (2) ◽  
pp. 101-103
Author(s):  
Rishav Mukherjee ◽  
Sampurna Chowdhury

A 23 year old female presented with acute onset paraparesis. She denied any history of fever, weight loss or drenching night sweats. Neither did she have any obvious lymphadenopathy on general examination. Chest Xray was however suggestive of mediastinal widening and her MRI spine showed metastases with superior mediastinal SOL. Biopsy of this SOL ultimately revealed classical Hodgkin lymphoma. Thus this was a very unusual initial presentation of Hodgkin lymphoma presenting as Epidural Spinal Cord Compression. Hasenclever IPS score was 2. Patient was treated with radiotherapy followed by ABVD chemotherapy and achieved remission in 3months.


2008 ◽  
Vol 27 (10) ◽  
pp. 1165-1168 ◽  
Author(s):  
Nicholas A. Bakker ◽  
J. Marc C. van Dijk ◽  
Riemer H.J.A. Slart ◽  
Maarten H. Coppes ◽  
Gustaaf W. van Imhoff ◽  
...  

1988 ◽  
Vol 97 (4) ◽  
pp. 393-396 ◽  
Author(s):  
Steven I. Goldstein ◽  
David Kaufman ◽  
Andrea D. Abati

The prognosis of metastatic thyroid carcinoma is dependent on the age of the patient, the histologic characteristics of the neoplasm, and the site of metastasis. A more favorable prognosis is found in patients less than 40 years old with follicular carcinoma and without any bony metastases. Metastatic thyroid carcinoma presenting as distal spinal cord compression is extremely rare. We report one such case and review the literature. As reported in the literature, the combination of decompressive laminectomy followed by total thyroidectomy and radioactive iodine therapy has proved to be effective in the treatment of patients with thyroid carcinoma metastatic to the distal vertebral bodies.


JAMA ◽  
1982 ◽  
Vol 247 (11) ◽  
pp. 1565a-1566 ◽  
Author(s):  
E. H. Shortliffe

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