Diagnostic problems with follicular thyroid cancer – case study
Curr Issues Pharm Med Sci., Vol. 27, No. 1, Pages 5-7
Monika Koziołek1, Anna Sieradzka1, Michał Jakuszewski2, Lilianna Osowicz-Korolonek1,
Katarzyna Karpińska-Kaczmarczyk3, Anhelli Syrenicz1
1 Department of Endocrinology, Metabolic Diseases and Internal Diseases, Pomeranian Medical University in Szczecin
2 Clinic of Orthopaedics and Traumathology, Pomeranian Medical University in Szczecin
3 Department of Patomorphology, Pomeranian Medical University in Szczecin
The diagnosis of follicular thyroid cancer is based on postoperative histopathology assessment. In its minimally invasive form, the signs of vascular invasion and capsular infiltration may sometimes be seen only in a small tumor fragment; hence, the diagnosis should be based on multiple histopathology specimens. This case study is a report on a 70-year-old female who was diagnosed with spinal metastasis of follicular thyroid cancer. This diagnosis was established 5 years after partial strumectomy due to goiter and there were no signs of thyroid cancer in postoperative histopathology assessment. Based on this case and literature reports, the authors conclude that the diagnosis of follicular thyroid cancer, especially its minimally invasive forms, may pose a diagnostic problem even when based on postoperative histopathology.
minimally invasive follicular thyroid cancer, bone metastasis
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