Spontaneous Regression of Metastatic Papillary Thyroid Cancer in a Lymph Node

Spontaneous regression of cancer is defined as disappearance of cancer in the absence of specific therapy. In thyroid cancer patients with biochemically incomplete response to initial treatments, spontaneous decline in thyroglobulin levels without any cancer treatment is a well-known phenomenon; how...

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Main Authors: Jien Shim, Jianyu Rao, Run Yu
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Endocrinology
Online Access:http://dx.doi.org/10.1155/2018/5873897
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author Jien Shim
Jianyu Rao
Run Yu
author_facet Jien Shim
Jianyu Rao
Run Yu
author_sort Jien Shim
collection DOAJ
description Spontaneous regression of cancer is defined as disappearance of cancer in the absence of specific therapy. In thyroid cancer patients with biochemically incomplete response to initial treatments, spontaneous decline in thyroglobulin levels without any cancer treatment is a well-known phenomenon; however, spontaneous regression of persistent or recurrent structural disease has not been reported. We here present a case of papillary thyroid cancer in a 58-year-old female who underwent total thyroidectomy and two radioiodine ablations. She had persistently elevated thyroglobulin levels. Six years after her initial treatments, she had biopsy-proven cervical lymph node metastasis. The patient opted not to undergo any further treatment. Over the course of the next 10 years, without any additional treatment, the lymph node disappeared and her thyroglobulin levels decreased to almost undetectable ranges, implying near-complete regression. Our case illustrates that metastatic papillary thyroid cancer in lymph nodes can regress spontaneously.
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spelling doaj-art-8f043c96b571437ea9654d5412a3f7052025-02-03T01:24:27ZengWileyCase Reports in Endocrinology2090-65012090-651X2018-01-01201810.1155/2018/58738975873897Spontaneous Regression of Metastatic Papillary Thyroid Cancer in a Lymph NodeJien Shim0Jianyu Rao1Run Yu2Division of Endocrinology, Diabetes, and Metabolism, Department of Medicine, University of California, Los Angeles, David Geffen School of Medicine, Los Angeles, CA 90095, USADepartment of Pathology and Laboratory Medicine, University of California, Los Angeles, David Geffen School of Medicine, Los Angeles, CA 90095, USADivision of Endocrinology, Diabetes, and Metabolism, Department of Medicine, University of California, Los Angeles, David Geffen School of Medicine, Los Angeles, CA 90095, USASpontaneous regression of cancer is defined as disappearance of cancer in the absence of specific therapy. In thyroid cancer patients with biochemically incomplete response to initial treatments, spontaneous decline in thyroglobulin levels without any cancer treatment is a well-known phenomenon; however, spontaneous regression of persistent or recurrent structural disease has not been reported. We here present a case of papillary thyroid cancer in a 58-year-old female who underwent total thyroidectomy and two radioiodine ablations. She had persistently elevated thyroglobulin levels. Six years after her initial treatments, she had biopsy-proven cervical lymph node metastasis. The patient opted not to undergo any further treatment. Over the course of the next 10 years, without any additional treatment, the lymph node disappeared and her thyroglobulin levels decreased to almost undetectable ranges, implying near-complete regression. Our case illustrates that metastatic papillary thyroid cancer in lymph nodes can regress spontaneously.http://dx.doi.org/10.1155/2018/5873897
spellingShingle Jien Shim
Jianyu Rao
Run Yu
Spontaneous Regression of Metastatic Papillary Thyroid Cancer in a Lymph Node
Case Reports in Endocrinology
title Spontaneous Regression of Metastatic Papillary Thyroid Cancer in a Lymph Node
title_full Spontaneous Regression of Metastatic Papillary Thyroid Cancer in a Lymph Node
title_fullStr Spontaneous Regression of Metastatic Papillary Thyroid Cancer in a Lymph Node
title_full_unstemmed Spontaneous Regression of Metastatic Papillary Thyroid Cancer in a Lymph Node
title_short Spontaneous Regression of Metastatic Papillary Thyroid Cancer in a Lymph Node
title_sort spontaneous regression of metastatic papillary thyroid cancer in a lymph node
url http://dx.doi.org/10.1155/2018/5873897
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AT jianyurao spontaneousregressionofmetastaticpapillarythyroidcancerinalymphnode
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