Isolated Liver Metastasis in Hürthle Cell Thyroid Cancer Treated with Microwave Ablation

Hürthle cell thyroid cancer (HCTC) is a less common form of differentiated thyroid cancer. It rarely metastasizes to the liver, and when it does, the metastasis is almost never isolated. Here we report a 62-year-old male with widely invasive Hürthle cell thyroid cancer, who underwent total thyroidec...

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Bibliographic Details
Published inCase reports in endocrinology Vol. 2017; no. 2017; pp. 1 - 4
Main Authors Segkos, Konstantinos, Nabhan, Fadi, Schmidt, Carl M.
Format Journal Article
LanguageEnglish
Published Cairo, Egypt Hindawi Publishing Corporation 2017
Hindawi
John Wiley & Sons, Inc
Hindawi Limited
Wiley
Subjects
Care and treatment
Case Report
Case studies
Complications and side effects
Development and progression
Liver cancer
Metastasis
Thyroid cancer
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Summary:Hürthle cell thyroid cancer (HCTC) is a less common form of differentiated thyroid cancer. It rarely metastasizes to the liver, and when it does, the metastasis is almost never isolated. Here we report a 62-year-old male with widely invasive Hürthle cell thyroid cancer, who underwent total thyroidectomy and received adjuvant treatment with I-131 with posttreatment scan showing no evidence of metastatic disease. His thyroglobulin however continued to rise after that and eventually an isolated liver metastasis was identified. He underwent laparoscopic microwave ablation of the liver metastasis, with dramatic decline in thyroglobulin and no structural disease identified to date. This case highlights the rare occurrence of isolated liver metastasis from HCTC and also illustrates the utility of thermoablation as an alternative to surgical resection in the treatment of small isolated liver metastases from HCTC.
Bibliography:Academic Editor: Osamu Isozaki
ISSN:2090-6501
2090-651X
DOI:10.1155/2017/2790741