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KMID : 0356620070220040287
Journal of Korean Society of Endocrinology
2007 Volume.22 No. 4 p.287 ~ p.291
Solitary Papillary Thyroid Microcarcinoma (0.3 cm in Diameter) Presenting Multiple Distant Metastases at the Time of Diagnosis
Kim Tae-Hyun

Kim Jung-Han
Oh Young-Lyun
Hwang You-Chul
Jung Jung-Hwa
Jung Hye-Seung
Kang Mi-Ra
Min Yong-Ki
Lee Myung-Shik
Lee Moon-Kyu
Kim Kwang-Won
Chung Jae-Hoon
Abstract
Papillary thyroid microcarcinoma (PTMC) is defined as being 1 cm or less in diameter. Although the prognosis of PTMC is known to be more favorable than that of papillary thyroid carcinoma greater than 1 cm in diameter, pathologic factors suggesting aggressiveness, such as multifocality and lymph node invasion, have been reported to be highly prevalent in PTMC. However, the rate of distant metastasis in patients with PTMC is very low. Many investigators have reported that initial distant metastasis was detected only in patients with PTMC greater than 0.4 cm in diameter, however these cases have involved only one organ, usually the lung. We report here on an extremely unusual case of solitary PTMC (0.3 cm in diameter) presenting multiple distant metastases at the time of diagnosis.
KEYWORD
Multiple distant metastases, Papillary thyroid microcarcinoma
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