Mandibular metastasis with pulmonary cannon balls: Presentation of follicular carcinoma thyroid | Zendy

Kaushik Saha | Zendy; Debraj Jash | Zendy; Arnab Kumar Maji | Zendy

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Mandibular metastasis with pulmonary cannon balls: Presentation of follicular carcinoma thyroid

Author(s) -

Kaushik Saha,

Debraj Jash,

Arnab Kumar Maji

Publication year - 2015

Publication title -

medical journal of dr d y patil university

Language(s) - English

Resource type - Journals

eISSN - 2278-7119

pISSN - 0975-2870

DOI - 10.4103/0975-2870.168007

Subject(s) - medicine , thyroid , metastasis , thyroid carcinoma , nodule (geology) , malignancy , radiology , pathology , calcification , carcinoma , metastatic carcinoma , lung , cancer , paleontology , biology

Swelling of the jaw due to metastatic lesions needs careful search for an occult malignancy. Thyroid carcinoma is a rare cause of jaw bone metastasis. A 70-year-old female presented in our chest clinic with progressive shortness of breath for last 1-month and associated painful swelled right jaw for last 4 months. Her computed tomography scan thorax showed bilateral cannon ball metastasis involving all lobes of the lung. Fine-needle aspiration cytology (FNAC) from radiographically evident osteolytic lesion of the mandible was suggestive of metastatic carcinoma probably of thyroid origin. Ultrasonography of the thyroid gland revealed well-defined hypoechoic nodule (measuring about 2 cm × 1.8 cm) with few foci of calcification. FNAC from the thyroid nodule followed by immunocytochemistry was suggestive of follicular carcinoma of the thyroid. We report a very rare presentation, as jaw metastasis in follicular carcinoma of the thyroid

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