Delayed brain metastasis after 17-years from papillary thyroid cancer without local recurrence: case report and literature review

Author:

Knight James1,Kingham Matthew2ORCID,Price Sally-Ann1,Bodi Istvan3,Lavrador Jose Pedro1

Affiliation:

1. Department of Neurosurgery, King’s College Hospital , London, SE5 9RS, UK

2. GKT School of Medical Education, King’s College London , London, SE1 1UL, UK

3. Department of Neuropathology, King’s College Hospital , London, UK

Abstract

Abstract Papillary thyroid carcinoma (PTC) is the most common malignancy originating from the thyroid, with a good overall prognosis. However, distant metastasis of such lesions is very rare, with the brain being an incredibly uncommon site for secondary spread. The authors report a case of PTC brain metastasis 17-years after successful treatment of the primary malignancy, with no local or locoregional recurrence. Initial diagnostic uncertainty necessitated the involvement of a multidisciplinary team, and eventually the patient underwent image-guided gross surgical resection with intraoperative neuromonitoring (IOMN).

Publisher

Oxford University Press (OUP)

Subject

Surgery

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