Long-term follow-up after resection of thyroid metastases from hepatocellular carcinoma in noncirrhotic liver
Autor(a) principal: | |
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Data de Publicação: | 2013 |
Outros Autores: | , , , , , , , |
Tipo de documento: | Relatório |
Idioma: | eng |
Título da fonte: | Arquivos Brasileiros de Endocrinologia & Metabologia (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27302013000400009 |
Resumo: | Thyroid metastasis from hepatocellular carcinoma (HCC) is rare, and has poor prognosis. We report the case of a 62-year-old woman seen at our clinic because of the occurrence of a slightly painful abdominal mass. At that time, alpha-fetoprotein concentration was very high, reaching 49,831.7 ng/mL. Abdominal ultrasound showed a heterogeneous mass in segment IV of the liver, which was diagnosed as HCC upon MRI. The patient underwent surgical resection and histological analysis of the specimen confirmed HCC. Metastases to the thyroid were detected 17 months after liver resection. Although the presence of metastases indicates advanced disease, thyroidectomy was performed, since no other distant metastases were detected. In fact, the patient is doing well 3 years after thyroidectomy and regular imaging exams showed no tumor recurrence. Current alpha-fetoprotein concentration is 8 ng/mL. In conclusion, thyroid metastasis from HCC is uncommon and short-term survival is expected. However, surgical resection should be encouraged, especially in the case of solitary metastases. |
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Long-term follow-up after resection of thyroid metastases from hepatocellular carcinoma in noncirrhotic liverThyroid metastasis from hepatocellular carcinoma (HCC) is rare, and has poor prognosis. We report the case of a 62-year-old woman seen at our clinic because of the occurrence of a slightly painful abdominal mass. At that time, alpha-fetoprotein concentration was very high, reaching 49,831.7 ng/mL. Abdominal ultrasound showed a heterogeneous mass in segment IV of the liver, which was diagnosed as HCC upon MRI. The patient underwent surgical resection and histological analysis of the specimen confirmed HCC. Metastases to the thyroid were detected 17 months after liver resection. Although the presence of metastases indicates advanced disease, thyroidectomy was performed, since no other distant metastases were detected. In fact, the patient is doing well 3 years after thyroidectomy and regular imaging exams showed no tumor recurrence. Current alpha-fetoprotein concentration is 8 ng/mL. In conclusion, thyroid metastasis from HCC is uncommon and short-term survival is expected. However, surgical resection should be encouraged, especially in the case of solitary metastases.Sociedade Brasileira de Endocrinologia e Metabologia2013-06-01info:eu-repo/semantics/reportinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27302013000400009Arquivos Brasileiros de Endocrinologia & Metabologia v.57 n.4 2013reponame:Arquivos Brasileiros de Endocrinologia & Metabologia (Online)instname:Sociedade Brasileira de Endocrinologia e Metabologia (SBEM)instacron:SBEM10.1590/S0004-27302013000400009info:eu-repo/semantics/openAccessSilva,Ivonete Sandra de Souza eGonzáles,Adriano MiziaraLinhares,Marcelo MouraSalzedas Neto,AlcidesSzejnfeld,DenisD'Ippolito,GiuseppeLopes Filho,Gaspar de JesusLanzoni,Valeria PereiraMatos,Carla Adrianaeng2013-07-01T00:00:00Zoai:scielo:S0004-27302013000400009Revistahttps://www.aem-sbem.com/ONGhttps://old.scielo.br/oai/scielo-oai.php||abem-editoria@endocrino.org.br1677-94870004-2730opendoar:2013-07-01T00:00Arquivos Brasileiros de Endocrinologia & Metabologia (Online) - Sociedade Brasileira de Endocrinologia e Metabologia (SBEM)false |
dc.title.none.fl_str_mv |
Long-term follow-up after resection of thyroid metastases from hepatocellular carcinoma in noncirrhotic liver |
title |
Long-term follow-up after resection of thyroid metastases from hepatocellular carcinoma in noncirrhotic liver |
spellingShingle |
Long-term follow-up after resection of thyroid metastases from hepatocellular carcinoma in noncirrhotic liver Silva,Ivonete Sandra de Souza e |
title_short |
Long-term follow-up after resection of thyroid metastases from hepatocellular carcinoma in noncirrhotic liver |
title_full |
Long-term follow-up after resection of thyroid metastases from hepatocellular carcinoma in noncirrhotic liver |
title_fullStr |
Long-term follow-up after resection of thyroid metastases from hepatocellular carcinoma in noncirrhotic liver |
title_full_unstemmed |
Long-term follow-up after resection of thyroid metastases from hepatocellular carcinoma in noncirrhotic liver |
title_sort |
Long-term follow-up after resection of thyroid metastases from hepatocellular carcinoma in noncirrhotic liver |
author |
Silva,Ivonete Sandra de Souza e |
author_facet |
Silva,Ivonete Sandra de Souza e Gonzáles,Adriano Miziara Linhares,Marcelo Moura Salzedas Neto,Alcides Szejnfeld,Denis D'Ippolito,Giuseppe Lopes Filho,Gaspar de Jesus Lanzoni,Valeria Pereira Matos,Carla Adriana |
author_role |
author |
author2 |
Gonzáles,Adriano Miziara Linhares,Marcelo Moura Salzedas Neto,Alcides Szejnfeld,Denis D'Ippolito,Giuseppe Lopes Filho,Gaspar de Jesus Lanzoni,Valeria Pereira Matos,Carla Adriana |
author2_role |
author author author author author author author author |
dc.contributor.author.fl_str_mv |
Silva,Ivonete Sandra de Souza e Gonzáles,Adriano Miziara Linhares,Marcelo Moura Salzedas Neto,Alcides Szejnfeld,Denis D'Ippolito,Giuseppe Lopes Filho,Gaspar de Jesus Lanzoni,Valeria Pereira Matos,Carla Adriana |
description |
Thyroid metastasis from hepatocellular carcinoma (HCC) is rare, and has poor prognosis. We report the case of a 62-year-old woman seen at our clinic because of the occurrence of a slightly painful abdominal mass. At that time, alpha-fetoprotein concentration was very high, reaching 49,831.7 ng/mL. Abdominal ultrasound showed a heterogeneous mass in segment IV of the liver, which was diagnosed as HCC upon MRI. The patient underwent surgical resection and histological analysis of the specimen confirmed HCC. Metastases to the thyroid were detected 17 months after liver resection. Although the presence of metastases indicates advanced disease, thyroidectomy was performed, since no other distant metastases were detected. In fact, the patient is doing well 3 years after thyroidectomy and regular imaging exams showed no tumor recurrence. Current alpha-fetoprotein concentration is 8 ng/mL. In conclusion, thyroid metastasis from HCC is uncommon and short-term survival is expected. However, surgical resection should be encouraged, especially in the case of solitary metastases. |
publishDate |
2013 |
dc.date.none.fl_str_mv |
2013-06-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/report |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
report |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27302013000400009 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27302013000400009 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S0004-27302013000400009 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Endocrinologia e Metabologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Endocrinologia e Metabologia |
dc.source.none.fl_str_mv |
Arquivos Brasileiros de Endocrinologia & Metabologia v.57 n.4 2013 reponame:Arquivos Brasileiros de Endocrinologia & Metabologia (Online) instname:Sociedade Brasileira de Endocrinologia e Metabologia (SBEM) instacron:SBEM |
instname_str |
Sociedade Brasileira de Endocrinologia e Metabologia (SBEM) |
instacron_str |
SBEM |
institution |
SBEM |
reponame_str |
Arquivos Brasileiros de Endocrinologia & Metabologia (Online) |
collection |
Arquivos Brasileiros de Endocrinologia & Metabologia (Online) |
repository.name.fl_str_mv |
Arquivos Brasileiros de Endocrinologia & Metabologia (Online) - Sociedade Brasileira de Endocrinologia e Metabologia (SBEM) |
repository.mail.fl_str_mv |
||abem-editoria@endocrino.org.br |
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1754734812264923136 |