FDG PET/CT in the Detection of Pancreatic Metastasis in a Patient with Follicular Thyroid Carcinoma and Negative I-131 Whole Body Scan Findings

Na, Hae Jung; Kim, Bo Hyun; Kim, Ji Ryang; Oh, Min Young; Kim, Sang Mi; Song, Byeong Gu; Shin, Dong Hun; Kim, Won Jin; Jeon, Yun Kyung; Seo, Hyung Il; Kim, In Joo

doi:10.2169/internalmedicine.53.2427

Cited by 7 publications

(1 citation statement)

References 14 publications

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“…In this case, the patient underwent whole-body PET/CT and showed abnormal 18 F-FDG avidity in the pancreas and thyroid. Although some case reports have described metastatic pancreatic carcinoma of the papillary and follicular subtypes from thyroid carcinoma, [ 8 , 9 ] cases presenting with the primary squamous subtype of thyroid carcinoma itself are rare. [ 10 ] To exclude this possibility, thyroid FNA biopsy was performed and the cytological findings indicated Hashimoto's thyroiditis.…”

Section: Discussionmentioning

confidence: 99%

Primary squamous cell carcinoma of the pancreas with effective comprehensive treatment

Zhang¹,

Cheng²,

Xu³

et al. 2018

Medicine

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Rationale:Primary squamous cell carcinoma (SCC) of the pancreas is a rare entity since the pancreas lacks squamous cells. This condition is associated with a poor prognosis, and there is currently no optimal treatment strategy for it.Patient concerns:A 64-year-old female patient with a complaint of epigastric pain for 3 months was referred to our hospital.Diagnoses:She was finally diagnosed with primary SCC of the pancreas with lymph node metastasis on the basis of radiological and pathological findings.Interventions:She received chemoradiation along with targeted therapy and was provided with treatment response evaluation through PET/CT.Outcomes:She eventually died of tumor progression after 8 months.Lessons:Primary SCC of the pancreas is associated with a poor prognosis. Comprehensive therapy and proper radiologic evaluation may facilitate prolonged survival of these patients.

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Section: Discussionmentioning

confidence: 99%

Primary squamous cell carcinoma of the pancreas with effective comprehensive treatment

Zhang¹,

Cheng²,

Xu³

et al. 2018

Medicine

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Long-Term Outcomes After Hepatic and Pancreatic Resections for Metastases from Thyroid Cancer: a Systematic Review of the Literature

Πασπάλα

Kostakis

Gaitanidis

et al. 2019

J Gastrointest Canc

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Pancreatic metastasis of papillary thyroid carcinoma preoperatively diagnosed by endoscopic ultrasound-guided fine-needle aspiration biopsy: a case report with review of literatures

Murakami

Shimura

Okada

et al. 2018

Clin J Gastroenterol

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Pancreatic metastatic tumors from thyroid carcinoma are extremely rare. We report a case of an 80-year-old female with a pancreatic metastatic tumor derived from papillary thyroid carcinoma which was initially resected 158 months prior to detection of the metastatic pancreatic tumor. The patient has encountered cervical lymph-node metastasis on three occasions following the initial operation. Metastatic pancreatic lesions and cervical lymph nodes were first detected using 18-fluorodeoxyglucose positron-emission tomography/computed tomography, and she was preoperatively diagnosed using endoscopic ultrasound-guided fine-needle aspiration biopsy. A coin lesion, 10 mm in size, was detected in the left lung by chest computed tomography with no abnormal uptake in 18-fluorodeoxyglucose positron-emission tomography/computed tomography. Distal pancreatectomy and cervical lymph-node dissection were performed. Adjuvant chemotherapy with weekly paclitaxel was administered because anaplastic transformation had been detected in one of the cervical lymph nodes. The patient eventually died from multiple lung metastases 11 months after removing the metastatic pancreatic lesion. We reported a rare case of a pancreatic metastatic tumor from thyroid carcinoma, and found that 18-fluorodeoxyglucose positron-emission tomography/computed tomography and endoscopic ultrasound-guided fine-needle aspiration biopsy are useful for preoperatively diagnosing tumors.

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FDG PET/CT in the Detection of Pancreatic Metastasis in a Patient with Follicular Thyroid Carcinoma and Negative I-131 Whole Body Scan Findings

Cited by 7 publications

References 14 publications

Primary squamous cell carcinoma of the pancreas with effective comprehensive treatment

Primary squamous cell carcinoma of the pancreas with effective comprehensive treatment

Long-Term Outcomes After Hepatic and Pancreatic Resections for Metastases from Thyroid Cancer: a Systematic Review of the Literature

Pancreatic metastasis of papillary thyroid carcinoma preoperatively diagnosed by endoscopic ultrasound-guided fine-needle aspiration biopsy: a case report with review of literatures

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