Follicular thyroid carcinoma presenting with pathological fracture of the humerus at initial diagnosis.

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Follicular thyroid carcinoma presenting with pathological fracture of the humerus at initial diagnosis.

J Surg Case Rep. 2017 Jan 19;2017(1):

Authors: Yang W, Cho W, Das S, Conboy P

Abstract
Differentiated carcinomas of the thyroid gland usually have a good prognosis with prognosis often discussed in terms of 20 year survival. Nevertheless its 10-year-survival rate decreases when accompanied by distant metastasis. Follicular thyroid cancer (FTC) is the second most common thyroid cancer and usually presents with a solitary thyroid nodule with or without cervical lymphadenopathy. Distance metastasis at initial diagnosis is seldom observed with incidence range from 1 to 9%. In cases of bone metastasis, the incidence is only 2-3% and weight-bearing skeleton is preferentially affected. In our case, we present a patient with FTC that metastasized to the upper limb causing severe pain and pathological fracture at the initial presentation.

PMID: 28108635 [PubMed - in process]

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