Surgical Treatment of a Patient with a Solitary Thyroid Metastasis from Primary Sigmoid Adenocarcinoma: A Case Report and Literature Review

Malignant metastases to the thyroid are rare and even rarer from colorectal cancer (CRC). Most cases of CRC metastasis to the thyroid involve metastases to other organs as well, particularly the liver and/or lung. There are only three reports of CRC metastasizing to the thyroid without involvement o...

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Main Authors: Kohei Yamahara, Toshiaki Moriki, Yuki Katsura, Kana Lee, Satoshi Ikegami
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Otolaryngology
Online Access:http://dx.doi.org/10.1155/2019/3208469
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author Kohei Yamahara
Toshiaki Moriki
Yuki Katsura
Kana Lee
Satoshi Ikegami
author_facet Kohei Yamahara
Toshiaki Moriki
Yuki Katsura
Kana Lee
Satoshi Ikegami
author_sort Kohei Yamahara
collection DOAJ
description Malignant metastases to the thyroid are rare and even rarer from colorectal cancer (CRC). Most cases of CRC metastasis to the thyroid involve metastases to other organs as well, particularly the liver and/or lung. There are only three reports of CRC metastasizing to the thyroid without involvement of another site. Patients with solitary thyroid metastasis from CRC have a poor prognosis after surgery, whereas resection is beneficial in their counterparts with a solitary liver or lung metastasis. This difference could be the result of delayed diagnosis of thyroid metastasis in patients with CRC, given that postoperative follow-up examination of the thyroid is not routinely performed. Here we describe a patient who was found to have a solitary metastasis of sigmoid cancer to the thyroid on postoperative imaging and has had prolonged disease-free survival after thyroidectomy. Our experience suggests that a low threshold of suspicion is crucial for timely diagnosis of thyroid metastasis from CRC and that resection can improve disease-free survival.
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institution Kabale University
issn 2090-6765
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publishDate 2019-01-01
publisher Wiley
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series Case Reports in Otolaryngology
spelling doaj-art-6320fe9efa92416ab20ce156526a9f3d2025-02-03T01:25:34ZengWileyCase Reports in Otolaryngology2090-67652090-67732019-01-01201910.1155/2019/32084693208469Surgical Treatment of a Patient with a Solitary Thyroid Metastasis from Primary Sigmoid Adenocarcinoma: A Case Report and Literature ReviewKohei Yamahara0Toshiaki Moriki1Yuki Katsura2Kana Lee3Satoshi Ikegami4Department of Otolaryngology, Head and Neck Surgery, Shizuoka City Shizuoka Hospital, Shizuoka 420-8630, JapanDepartment of Pathology, Shizuoka City Shizuoka Hospital, Shizuoka 420-8630, JapanDepartment of Otolaryngology, Head and Neck Surgery, Shizuoka City Shizuoka Hospital, Shizuoka 420-8630, JapanDepartment of Otolaryngology, Shin-Suma General Hospital, Kobe, Hyogo 654-0048, JapanDepartment of Otolaryngology, Head and Neck Surgery, Shizuoka City Shizuoka Hospital, Shizuoka 420-8630, JapanMalignant metastases to the thyroid are rare and even rarer from colorectal cancer (CRC). Most cases of CRC metastasis to the thyroid involve metastases to other organs as well, particularly the liver and/or lung. There are only three reports of CRC metastasizing to the thyroid without involvement of another site. Patients with solitary thyroid metastasis from CRC have a poor prognosis after surgery, whereas resection is beneficial in their counterparts with a solitary liver or lung metastasis. This difference could be the result of delayed diagnosis of thyroid metastasis in patients with CRC, given that postoperative follow-up examination of the thyroid is not routinely performed. Here we describe a patient who was found to have a solitary metastasis of sigmoid cancer to the thyroid on postoperative imaging and has had prolonged disease-free survival after thyroidectomy. Our experience suggests that a low threshold of suspicion is crucial for timely diagnosis of thyroid metastasis from CRC and that resection can improve disease-free survival.http://dx.doi.org/10.1155/2019/3208469
spellingShingle Kohei Yamahara
Toshiaki Moriki
Yuki Katsura
Kana Lee
Satoshi Ikegami
Surgical Treatment of a Patient with a Solitary Thyroid Metastasis from Primary Sigmoid Adenocarcinoma: A Case Report and Literature Review
Case Reports in Otolaryngology
title Surgical Treatment of a Patient with a Solitary Thyroid Metastasis from Primary Sigmoid Adenocarcinoma: A Case Report and Literature Review
title_full Surgical Treatment of a Patient with a Solitary Thyroid Metastasis from Primary Sigmoid Adenocarcinoma: A Case Report and Literature Review
title_fullStr Surgical Treatment of a Patient with a Solitary Thyroid Metastasis from Primary Sigmoid Adenocarcinoma: A Case Report and Literature Review
title_full_unstemmed Surgical Treatment of a Patient with a Solitary Thyroid Metastasis from Primary Sigmoid Adenocarcinoma: A Case Report and Literature Review
title_short Surgical Treatment of a Patient with a Solitary Thyroid Metastasis from Primary Sigmoid Adenocarcinoma: A Case Report and Literature Review
title_sort surgical treatment of a patient with a solitary thyroid metastasis from primary sigmoid adenocarcinoma a case report and literature review
url http://dx.doi.org/10.1155/2019/3208469
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