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KMID : 0986520120120020115
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Korean Journal of Endoscrine Surgery
2012 Volume.12 No. 2 p.115 ~ p.119
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Two Cases of Bone Metastasis from Follicular Thyroid Carcinoma Several Years after Initial Thyroidectomy
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Park Jung-In
Jung Eun-Jung
Park Soon-Tae
Kim Ju-Yeon
Jeong Sang-Ho
Jeong Chi-Young
Ju Young-Tae
Lee Young-Joon
Hong Soon-Chan
Choi Sang-Kyeong
Ha Woo-Song
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Abstract
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A 78-year-old woman presented with epigastric discomfort with nausea, and an abdominal CT revealed a rib mass and gall bladder polyp. She had had a subtotal thyroidectomy of a 4.2×3 cm-sized follicular thyroid carcinoma 19 years ago. The rib mass was excised and its histological examination showed a metastatic carcinoma from a follicular thyroid carcinoma. One month later we carried out a completion thyroidectomy, and we will perform radioactive ablation with 131I. A 64-year-old woman presented to our clinic for leg motor weakness and we found a T7 pathologic fracture by X-ray and MRI. She had had a left thyroid lobectomy for a minimal invasive follicular thyroid carcinoma measuring 4 cm at the greatest diameter. Anterior-decompression and fusion were carried out, and histological examination showed a metastatic lesion from the thyroid. Then we performed a completion thyroidectomy and 131I radioactive ablation one month later. Radioactive ablation should be performed for large-sized follicular carcinomas to prevent recurrences.
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KEYWORD
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Bone metastasis, Follicular thyroid carcinoma, Thyroid cancer
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