Scalp Metastasis from Thyroid Carcinoma 12 Years Post-thyroidectomy: Clinical and Ethical Lessons
Journal Title: Journal of Advances in Medicine and Medical Research - Year 2016, Vol 18, Issue 12
Abstract
Aim: We describe a rare presentation of thyroid carcinoma, to highlight thyroid carcinoma in the differential diagnosis of skin lesions; and emphasize the importance of efficient record keeping in patient management. Presentation of Case: A 73 year old man who presented with an occipital scalp nodule. This solitary skin lesion was the presenting symptom of the recurrence of a thyroid tumor surgically treated 12 years earlier. All records of the initial presentation and treatment could not be retrieved. Immunohistochemistry of the scalp lesion confirmed a thyroid carcinoma. Further examination revealed nodules in the thyroid bed, liver and lung metastases. He was referred for radio iodine therapy. Discussion: Recurrences of thyroid carcinoma are common and can occur several years after initial diagnosis. Our patient presented with a scalp metastasis 12 years post thyroidectomy. The non-availability of the patient’s medical records makes it difficult to evaluate the management of the patient at initial presentation, and the follow up period. Conclusion: Thyroid lesions in elderly males are more likely to be cancerous, and can recur several years after initial treatment. Proper investigation, efficient record keeping and, long term follow-up is advocated.
Authors and Affiliations
M. O. Udoh, D. F. Mekoma, C. Osime, U. O. Igbokwe
Keywords
Related Articles
- EP ID EP341073
- DOI 10.9734/BJMMR/2016/29983
- Views 41
- Downloads 0
Association between Major Non-communicable Diseases Risk Factors and Fasting Blood Glucose in Iran: Comparison of Two Techniques, with and Without Dichotomizing the Response
Background: Dichotomizing a continuous outcome variable is a common approach to estimate the odds ratio (OR) as a measure of association. In the present study we aimed to compare a non-dichotomizing technique with logist...
Results of Radioactive Iodine (131I) Therapy in Well Differentiated Thyroid Carcinoma: A Retrospective Study from the Tygerberg Hospital
Introduction: Well Differentiated thyroid carcinoma (WDTC) represents 80% of all thyroid malignant tumours, with good prognosis and a survival rate higher than 90% at 20 yrs. Total or subtotal thyroidectomy is the treatm...
Arterial Blood Flow and its Association with BMI in Hypertensive Adult Male Subjects under Resting State
The goal of this study was to determine the association between arterial blood flow in normal and high BMI of hypertensive adult male subjects under resting state. To achieve this, 400 humans were ethically recruited fro...
Bilateral Renal Infarction in a Teenage Patient: A Case of “Transient” Antiphospholipid Syndrome?
We present a case of abdominal pain in an 18-year-old-female which was ultimately diagnosed to be due to bilateral renal infarction. The etiology of this finding was determined to be a transient antiphospholipid syndrome...
Errors in Clinical Biochemistry Laboratory
Introduction: Clinical laboratories have focused their attention on quality control methods and quality assessment programs dealing with analytical aspects of testing. But studies in recent years demonstrates that qualit...