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Solitary pulmonary metastasis from occult papillary thyroid carcinoma
Author(s) -
Kaseda Kaoru,
Watanabe Kenichi,
Sakamaki Hiroyuki,
Kazama Akio
Publication year - 2016
Publication title -
thoracic cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.823
H-Index - 28
eISSN - 1759-7714
pISSN - 1759-7706
DOI - 10.1111/1759-7714.12295
Subject(s) - medicine , nodule (geology) , occult , solitary pulmonary nodule , thyroid carcinoma , pathology , metastasis , lung , carcinoma , radiology , thyroid , adenocarcinoma , cancer , paleontology , alternative medicine , biology
Pulmonary metastases from thyroid carcinoma typically cause a micronodular or miliary pattern throughout both lungs. Metastasis consisting of a solitary pulmonary nodule measuring 20 mm in diameter is rare. Here we report a case of a 66‐year‐old woman without a history of papillary thyroid carcinoma who presented with a pulmonary nodule measuring 20 mm in diameter, found on chest computed tomography during a health checkup. The patient underwent a right lobectomy. Microscopic examination showed well‐differentiated papillary adenocarcinoma. Immunohistochemical findings were consistent with a diagnosis of pulmonary metastasis from papillary thyroid carcinoma. Solitary metastasis to the lung from occult thyroid carcinoma is quite rare, but if a pulmonary nodule is encountered in a patient without a history of thyroid carcinoma, the possibility must be considered.

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