Olgu Sunumu
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Sternum Metastazı Olan Tiroid Papiller Karsinomu: Bir Olgu Sunumu

Yıl 2025, Cilt: 12 Sayı: 2, 75 - 81, 31.08.2025
https://doi.org/10.56941/odutip.1715906

Öz

Papiller tiroid karsinomu (PTC) genellikle mükemmel prognoza sahip yavaş ilerleyen bir malignitedir; ancak, vakaların yaklaşık %10'unda uzak metastaz görülür, çoğunlukla akciğerlere ve kemiklere. Sternal metastaz gösteren papiller tiroid karsinomu tanısı konulan 56 yaşında bir erkek hastayı bildiriyoruz, bu uzak yayılımın nadir bir yeridir. Total tiroidektomi ile ilk cerrahi tedaviden sonra, görüntüleme ve histopatolojik değerlendirme sternumun metastatik tutulumunu doğruladı. Bu rapor, nadir görülen metastatik tiroid karsinom modellerinin yönetiminde tanı yaklaşımını, tedavi hususlarını ve multidisipliner bir stratejinin önemini vurgulamaktadır.

Kaynakça

  • Batta R, Njoum Y, Deek R, Awad F, Bakri IA, Maree M: Follicular thyroid carcinoma with sternal metastasis: A case report. International Journal of Surgery Case Reports 2023, 109:108625.
  • Paspala A, Papakonstantinou D, Pikoulis E, Tomos P, Nastos C, Nastos K: Synchronous sternal metastasectomy and total thyroidectomy for differentiated thyroid cancer: a rare case report. Cureus 2022, 14(11).
  • Adil A, Abdelfetah Z, Khalid T, Abderahman K, Issam R, Yacine M: Isolated Sternal Metastasis Arising from Well Diferencied Thyroid Carcinoma. American Journal of Thoracic and Cardiovascular Surgery 2017, 2(1):7-9.
  • Lam, A. K. (2022). Papillary thyroid carcinoma: current position in epidemiology, genomics, and classification. In Papillary Thyroid Carcinoma: Methods and Protocols (pp. 1-15). New York, NY: Springer US.
  • Pradeep S, Hedne N, Vidhyadharan S, Rajiv S: Sternal metastatectomy in a case of papillary thyroid carcinoma. BMJ Case Reports CP 2020, 13(10):e235967.
  • Piñar-Gutiérrez A, Romero-Lluch AR, Dueñas-Disotuar S, de Lara-Rodríguez I, Gálvez-Moreno MÁ, Martín-Hernández T, García-Alemán J, Martínez-de Pinillos G, Navarro-González E: Bone metastases from differentiated thyroid cancer: characteristics and prognostic factors in a multicenter series. European Thyroid Journal 2023, 12(5).
  • Kapustin DA, Yun J, Su V, Rubin SJ, Nicastri DG, Flores RM, Urken ML: Subtotal Sternectomy with Reconstruction for Metastatic Thyroid Carcinoma. VideoEndocrinology™ 2023, 10(3):46-48.
  • Dueñas-Disotuar S, Piñar-Gutiérrez A, de Lara-Rodríguez I, Sastre-Marcos J, Anda-Apiñániz E, Oleaga-Alday A, Galofré-Ferrater JC, Orois-Añon A, Alcázar-Lázaro V, Martínez-Guasch L: Bone metastasis in differentiated thyroid cancer: Spanish multicenter study of clinical characteristics, survival and prognostic factors. Frontiers in Endocrinology 2024, 15:1466245.
  • Pompeu YA: Bone Metastases in Differentiated Thyroid Carcinoma: Resection Strategy and Other Prognostic Factors: Harvard University; 2018.
  • Khired ZA, Hussein MH, Jishu JA, Toreih AA, Shaalan AA, Ismail MM, Fawzy MS, Toraih EA: Osseous metastases in thyroid cancer: unveiling risk factors, disease outcomes, and treatment impact. Cancers 2023, 15(14):3557.
  • Murakawa T, Nakajima J, Tanaka M, Matsumoto J, Takeuchi E, Takamoto S, Sugasawa T, Mibu K: Metastatic sternal tumor from thyroid papillary carcinoma; report of a case. Kyobu geka The Japanese Journal of Thoracic Surgery 2002, 55(13):1161-1166.
  • Ouakrim H, Dafali Nei, Rafi S, El Mghari G, El Ansari N: Sternal Metastasis in Follicular Thyroid Carcinoma: An Atypical Presentation. 2023.
  • Syazni MA, Gendeh HS, Kosai NR, Ramzisham A, Gendeh BS, Basiron N, Imran FH: Follicular thyroid cancer with sternal metastasis-challenges and outcomes. Med J Malaysia 2017, 72(1):80-82.

Thyroid Papillary Carcinoma with Sternum Metastasis: A Case Report

Yıl 2025, Cilt: 12 Sayı: 2, 75 - 81, 31.08.2025
https://doi.org/10.56941/odutip.1715906

Öz

Papillary thyroid carcinoma (PTC) is generally an indolent malignancy with excellent prognosis; however, distant metastasis occurs in approximately 10% of cases, predominantly to the lungs and bones. We report the case of a 56-year-old male diagnosed with papillary thyroid carcinoma exhibiting sternal metastasis, a rare site of distant spread. After initial surgical management with total thyroidectomy, imaging and histopathological evaluation confirmed metastatic involvement of the sternum. This report emphasizes the diagnostic approach, treatment considerations, and the importance of a multidisciplinary strategy in managing rare metastatic patterns of thyroid carcinoma.

Destekleyen Kurum

yok

Teşekkür

Dear Editor, We are pleased to send you the “Thyroid Papillary Carcinoma with Sternum Metastasis: A Case Report " case report so that you may consider being evaluated in your prestigious journal. This study aims to present and analyze a rare case of PTC with sternal metastasis, aiming to contribute to the limited literature on atypical metastatic patterns of PTC. We expose that the case report represents results of original work that has been submitted solely to the ODU MED JOURNAL and it will not be submitted for publication elsewhere until a decision is made regarding its acceptability. It has not been published elsewhere and if accepted for publication, it will not be published elsewhere. All authors agree with its content and the order of authorship. The Declaration of Helsinki guidelines were followed in the conduct of the study. All authors accept ethical responsibility for the content of the manuscript and accept the consequences of any ethical violation. As the corresponding author I confirm that all authors have reviewed and approved the case report. All authors agree with its content and the order of authorship. I understand that, if accepted for publication, a certification of authorship form will be required that all coauthors will sign. We hope it may be of interest to you, thank you for your valuable time spent, and we remain at your disposal. Sincerely, Specialist Doctor Ömer ESMEZ, MD

Kaynakça

  • Batta R, Njoum Y, Deek R, Awad F, Bakri IA, Maree M: Follicular thyroid carcinoma with sternal metastasis: A case report. International Journal of Surgery Case Reports 2023, 109:108625.
  • Paspala A, Papakonstantinou D, Pikoulis E, Tomos P, Nastos C, Nastos K: Synchronous sternal metastasectomy and total thyroidectomy for differentiated thyroid cancer: a rare case report. Cureus 2022, 14(11).
  • Adil A, Abdelfetah Z, Khalid T, Abderahman K, Issam R, Yacine M: Isolated Sternal Metastasis Arising from Well Diferencied Thyroid Carcinoma. American Journal of Thoracic and Cardiovascular Surgery 2017, 2(1):7-9.
  • Lam, A. K. (2022). Papillary thyroid carcinoma: current position in epidemiology, genomics, and classification. In Papillary Thyroid Carcinoma: Methods and Protocols (pp. 1-15). New York, NY: Springer US.
  • Pradeep S, Hedne N, Vidhyadharan S, Rajiv S: Sternal metastatectomy in a case of papillary thyroid carcinoma. BMJ Case Reports CP 2020, 13(10):e235967.
  • Piñar-Gutiérrez A, Romero-Lluch AR, Dueñas-Disotuar S, de Lara-Rodríguez I, Gálvez-Moreno MÁ, Martín-Hernández T, García-Alemán J, Martínez-de Pinillos G, Navarro-González E: Bone metastases from differentiated thyroid cancer: characteristics and prognostic factors in a multicenter series. European Thyroid Journal 2023, 12(5).
  • Kapustin DA, Yun J, Su V, Rubin SJ, Nicastri DG, Flores RM, Urken ML: Subtotal Sternectomy with Reconstruction for Metastatic Thyroid Carcinoma. VideoEndocrinology™ 2023, 10(3):46-48.
  • Dueñas-Disotuar S, Piñar-Gutiérrez A, de Lara-Rodríguez I, Sastre-Marcos J, Anda-Apiñániz E, Oleaga-Alday A, Galofré-Ferrater JC, Orois-Añon A, Alcázar-Lázaro V, Martínez-Guasch L: Bone metastasis in differentiated thyroid cancer: Spanish multicenter study of clinical characteristics, survival and prognostic factors. Frontiers in Endocrinology 2024, 15:1466245.
  • Pompeu YA: Bone Metastases in Differentiated Thyroid Carcinoma: Resection Strategy and Other Prognostic Factors: Harvard University; 2018.
  • Khired ZA, Hussein MH, Jishu JA, Toreih AA, Shaalan AA, Ismail MM, Fawzy MS, Toraih EA: Osseous metastases in thyroid cancer: unveiling risk factors, disease outcomes, and treatment impact. Cancers 2023, 15(14):3557.
  • Murakawa T, Nakajima J, Tanaka M, Matsumoto J, Takeuchi E, Takamoto S, Sugasawa T, Mibu K: Metastatic sternal tumor from thyroid papillary carcinoma; report of a case. Kyobu geka The Japanese Journal of Thoracic Surgery 2002, 55(13):1161-1166.
  • Ouakrim H, Dafali Nei, Rafi S, El Mghari G, El Ansari N: Sternal Metastasis in Follicular Thyroid Carcinoma: An Atypical Presentation. 2023.
  • Syazni MA, Gendeh HS, Kosai NR, Ramzisham A, Gendeh BS, Basiron N, Imran FH: Follicular thyroid cancer with sternal metastasis-challenges and outcomes. Med J Malaysia 2017, 72(1):80-82.
Toplam 13 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Klinik Onkoloji
Bölüm Olgu sunumu
Yazarlar

Omer Esmez 0000-0002-4475-3501

Gulnihal Deniz 0000-0002-5944-8841

Merve Yildiz Esmez 0009-0008-1239-8948

Yayımlanma Tarihi 31 Ağustos 2025
Gönderilme Tarihi 8 Haziran 2025
Kabul Tarihi 28 Ağustos 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 12 Sayı: 2

Kaynak Göster

Vancouver Esmez O, Deniz G, Yildiz Esmez M. Thyroid Papillary Carcinoma with Sternum Metastasis: A Case Report. ODU Tıp Derg. 2025;12(2):75-81.