Follicular thyroid cancer metastasis

Case contributed by Rodney Strahan
Diagnosis almost certain

Presentation

Presented with enlarging neck mass affecting breathing. Had skull mass for two years.

Patient Data

Age: 45 years
Gender: Female

Skull

x-ray

Large skull soft tissue masses with destruction of the frontal and parietal bones. Osseous fragments scattered through the largest superior mass.

Trachea deviated to right and narrowed, due to neck mass.

Chest

x-ray

Trachea deviated to right and narrowed, due to neck mass.

Case Discussion

This patient presented with an enlarging neck mass causing breathing difficulties. She had not sought treatment for large head masses which had been present for years.

Biopsy of neck and head masses reported as most likely follicular thyroid carcinoma.

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