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Details of cases of cutaneous metastasis from follicular thyroid carcinoma since 1964

Details of cases of cutaneous metastasis from follicular thyroid carcinoma since 1964

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... metastatic pathway may be consistent with hematogenous dissemination17 via the external carotid artery system [1]. The overall rarity of cutaneous metastasis from follicular thyroid carcinoma is reflected by presence of only 10 such cases previously reported in English language literature (Table 1): It has been noted that skin metastasis from malignant tumours generally indicated a poor prognosis and the patients usually die with in 3-6 months. However, rare cases of skin metastasis from thyroid carcinoma with relatively prolonged survival have been recorded despite the presence of other metastasis [17]. ...

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Although the incidence of thyroid carcinoma has increased in recent years, follicular thyroid carcinoma with bone metastasis as the first symptom remains rare. Here, we report a case of occult follicular thyroid carcinoma in a 65-year-old female patient admitted to hospital with cerebrovascular disease. Computed tomography findings suggested a diagnosis of meningioma; however, magnetic resonance imaging results showed multiple skull bone destruction with soft tissue masses on the left side of the skull. After surgical resection, the pathology results revealed skull metastasis of follicular thyroid carcinoma. We present this case not only because of the diagnostic challenge it posed, but also because the patient had multiple skull metastases from follicular thyroid carcinoma.