Current Thoracic Surgery 2017 , Vol 2 , Issue 1
Isolated giant chest wall metastasis of papillary thyroid carcinoma; case report
Kemal Karapınar1,Celalettin İbrahim Kocatürk1,Ali Cevat Kutluk1,Nural Ören2
1Yedikule Teaching Hospital for Chest Diseases and Thoracic Surgery, Department of Thoracic Surgery, Istanbul
2Yedikule Teaching Hospital for Chest Diseases and Thoracic Surgery, Department of Pathology, Istanbul, Turkey.
DOI : 10.26663/cts.2017.0006 Viewed : 1106 - Downloaded : 644 Pulmonary metastases of papillary thyroid carcinoma (PTC) is rare and generally present as a micronodular or a miliary pattern. Herein we present a single giant chest wall metastasis of PTC that caused mediastinal shift which was not reported in the literature. A 67 year old female patient admitted to the hospital due to shortness of breath. A right sided mass on the chest wall and thyroid nodules were detected. PTC was diagnosed and the patient underwent a total thyroidectomy. pT3N0 were evaluated postoperatively. PETCT demonstrated the mass at right hemithorax (12 cm lesion, SUV max=7.2) plus needle biopsy showed a metastasis of PTC. A chest wall resection plus right upper lobectomy and lymph node dissection was performed as the first choice for PTC metastasis. Keywords : papillary thyroid carcinoma, chest wall, metastasis, giant, dyspnea