>Year 2005, Issue 4
D’Addino JL, Canteros G, Mayorga H, Falcoff N, Niepomniszcze H
Metastasis of endometrioid-type papillary carcinoma of the uterus in the thyroid gland
Cir Gen 2005; 27 (4)
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Objective:To present the handling and treatment of a case of metastasis of an endometrioid-type papillary carcinoma of the uterus in the thyroid gland.
Clinical case:White, 74 years old patient, nulliparous, with antecedents of diabetes, hypertension, 8 pregnancies and 8 abortions. She was operated in 2001 due to an endometrial adenocarcinoma. She received chemotherapy and radiotherapy (external and brachytherapy) after surgery. Two years later she seeks medical attention due to dyspnea, dysphagia, and a fast growing cervical mass predominantly right-sided. A CAT scan revealed a multinodular goiter associated to multiple cervical and superior mediastinal adenopathies with transesophageal compression. She was subjected to total thyroidectomy with modified type bilateral cervical emptying and mediastinal exploration. The histological study reported: “thyroid glandular parenchyma infiltrated by a moderately differentiated adenocarcinoma with papillary and solid sectors with extensive tumoral necrosis areas; neoplastic cells showed high nuclear degree and high mitotic index”. Metastasis of papillary carcinoma, immunophenotype, metastasis of endometrial carcinoma.
Conclusion:Carcinoma of the endometrium is frequent, but it rarely metastasizes to the thyroid. Notwithstanding, based on the antecedents of the patient, it must be taken into account.
||Metastasis in thyroid, carcinoma of the endometrium.
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>Year 2005, Issue 4