Follicular Thyroid Carcinoma with Unusual Mandible Metastasis

Author:

Tayyar Merve Nur Acar1,Uyanik Ercan1,Babacan Gündüzalp Bugrahan1,Sahin Mehmet Can1,Kisbet Tanju2

Affiliation:

1. Department of Nuclear Medicine, Prof. Dr. Cemil Taşcioğlu City Hospital, University of Health Sciences, Istanbul, Turkey

2. Department of Radiology, Prof. Dr. Cemil Taşcioğlu City Hospital, University of Health Sciences, Istanbul, Turkey

Abstract

Abstract Follicular thyroid cancer is the second-most common type of thyroid cancer after papillary thyroid cancer. Metastases to the mandible and maxillofacial region are rare. Our study presents a 55-year-old patient who underwent total thyroidectomy for follicular thyroid cancer and subsequent radioactive iodine therapy. Sixteen years after diagnosis, elevated thyroglobulin levels suggested disease recurrence. Using advanced imaging techniques – Fluorine-18 fluorodeoxyglucose positron emission tomography/computed tomography scan, bone scintigraphy, and posttreatment I-131 scan-an unexpected metastatic site was identified: the left mandibular condyle. A biopsy confirmed the presence of metastatic follicular thyroid cancer.

Publisher

Medknow

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