Thyroid Metastasis from Colon Cancer: a Case Report

Journal of Endocrine Surgery 2018³â 18±Ç 2È£ p.167 ~ p.170

±èµ¿ÀÏ(Kim Dong-Il) - Pusan National University Yangsan Hospital Department of Surgery
Á¤¿¬ÁÖ(Jung Youn-Joo) - Pusan National University Yangsan Hospital Department of Surgery
¹éÇöÁØ(Paik Hyun-June) - Pusan National University Yangsan Hospital Department of Surgery
±èÁö¿¬(Kim Jee-Yeon) - Pusan National University Yangsan Hospital Department of Pathology
±èÇö¿­(Kim Hyun-Yul) - Pusan National University Yangsan Hospital Research Institute for Convergence of Biomedical Science and Technology

Abstract

Thyroid metastasis from colon cancer is very rare and the prognosis is very poor. We present a rare case of thyroid metastasis from descending colon cancer. A 50-year-old man was visited because of palpable neck mass. He was diagnosed stage III colon cancer 51 months before symptom presentation. He has also underwent palliative chemotherapy and radiotherapy for distant metastasis of colon cancer. Imaging study showed a left side deviation of trachea due to 3.3 cm sized right thyroid gland mass which was suspicious of metastasis. The patient underwent right thyroid lobectomy. Histopathologic examination and immunohistochemistry revealed adenocarcinoma which was consistent with a diagnosis of metastases from primary colon cancer to the thyroid gland. Surgeon should consider the operation that distant metastasis to the thyroid gland is possible among the patients who present compression symptom on the neck.

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Colon cancer, Metastasis, Thyroid gland
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Colorectal cancer is very rarely metastasized to the thyroid gland. It was reported that there were 6 cases of thyroid metastasis among 5,862 patients of colorectal cancer (0.1%).
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