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Skull metastasis of thyroid papillary carcinoma.
Authors:Satoru Miyawaki  Ryuichi Yamazaki  Takehiko Harada  Shigehiko Takanashi  Tadashi Nagashima  Hiroshi Nakaguchi  Ryo Okazaki  Kazuhito Yamazaki  Yasuo Ishida  Akira Matsuno
Institution:Department of Neurosurgery, Teikyo University Ichihara Hospital, 3426-3 Anesaki, Ichihara City, Chiba 299-0111, Japan.
Abstract:Skull metastasis of thyroid carcinoma is rare. The majority of skull metastases of thyroid carcinoma are of the follicular subtype, rather than thyroid papillary carcinoma. In this report, a 55-year-old woman with skull metastasis from thyroid papillary carcinoma is presented. The metastatic lesion of the skull was hypervascular and osteolytic, and the bleeding was profuse during resection. There have been only four reports of skull metastasis from thyroid papillary carcinoma. The mean period from the initial diagnosis of thyroid carcinoma until the detection of skull metastasis is 23.3 years, whereas in this patient, it was about 2 years. Therefore, in the clinical course of thyroid papillary carcinoma, skull metastasis should be considered, and the patient should be meticulously followed up.
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