Isolated Sacral Metastasis Mimicking a Chordoma Presenting as a First Manifestation of Thyroid Malignancy: Case Report
Abstract
Fifty-nine years old female presented with the clinical manifestations of lumbosacral plexopathy. MR imaging revealed a large destructive pelvic mass of sacral origin, mimicking a sacral chordoma. Histopathological findings are suggestive of follicular variant of papillary carcinoma of thyroid origin. There was no clinically palpable thyroid lesion or any clinical feature suggestive of thyroid dysfunction. This report describes an isolated sacral metastasis of thyroid origin without prior clinical features of thyroid malignancy.
Keywords: Sacral metastasis, Thyroid metastasis, sacral chordoma, spinal metastasis, sacral tumor, pelvic tumors.
References
Fanchiang JK, Lin JD, Huang MJ, et al. Papillary and follicular thyroid carcinomas with bone metastases: a series of 39 cases during a period of 18 years. Chang-geng Yi Xue Za Zhi 1998; 21: 377-82.
Post K D, McCormick PC. Surgical management of pelvic tumors with intraspinal extension, in Schmidek H (ed): Operative Neurosurgical Techniques, ed 4. Phi-ladelphia, WB Saunders 2000; 1: 2303-21.
Scarrow AM, Colina JL, Levy EI, et al. Thyroid carci-noma with isolated spinal metastasis: case history and review of the literature. Clin Neurol Neurosurg 1999; 101: 245-8.
Dahlin DC, McCarty CS. Chordoma: A study of 59 cases. Cancer 1952; 5: 1170-8.
Rosenthal DI, Scott JA, Mankin IU, et al. Sacrococcy-geal chordoma: Magnetic resonance imaging and tomo-graphy. Am J Roentgenol 1985; 145: 143-7.
Goldstein SI, Kaufman D, Abati AD. Metastatic thyroid carcinoma presenting as distal spinal cord compression. Ann Otol Rhinol Laryngol 1988; 97: 393-6.
Boland DJ, Lane JM, Sundaresan N. Metastatic disease of the spine. Clin Orthop 1982; 169: 95-102.
Halnan KE, Roberts PH. Paraplegia caused by spinal metastasis from thyroid cancer. Br Med J 1967; 26: 534-6.
Koot RW, Portegies P. [Pain in one leg in patients with cancer] Ned Tijdschr Geneeskd 1998; 142: 2129-32.
Gray SG, Singhabhandhu B, Smith RA. Sacrococcygeal chordoma: Report of a case and review of literature. Surgery 1975; 78: 573-82.
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