Sciatica as a presenting feature of thyroid follicular adenocarcinoma in a 79-year-old woman.

Hdl Handle:
http://hdl.handle.net/10147/305272
Title:
Sciatica as a presenting feature of thyroid follicular adenocarcinoma in a 79-year-old woman.
Authors:
Ogbodo, Elisha; Kaliaperumal, Chandrasekaran; Keohane, Catherine; Bermingham, Niamh; Kaar, George
Affiliation:
Department of Neurosurgery, Cork University Hospital, Cork, Ireland.
Citation:
Sciatica as a presenting feature of thyroid follicular adenocarcinoma in a 79-year-old woman. 2011, 2011: BMJ Case Rep
Journal:
BMJ case reports
Issue Date:
2011
URI:
http://hdl.handle.net/10147/305272
DOI:
10.1136/bcr.10.2011.5014
PubMed ID:
22674960
Abstract:
The authors describe an unusual case of metastatic thyroid follicular adenocarcinoma presenting with sciatica in a 79-year-old woman. The primary thyroid tumour was undiagnosed until this clinical presentation. The patient gave a short history of back pain and right-sided sciatica, which was progressive and nocturnal in nature. Neuroimaging revealed an enhancing intradural mass lesion, which was completely excised through a right L1-L3 hemilaminectomy. Histopathological examination of the excised tissue revealed a follicular thyroid carcinoma. Subsequent metastatic investigation revealed a heterogeneously attenuating mixed solid cystic mass in a retrosternal thyroid gland, with multiple solid pulmonary nodules suggestive of metastatic disease. She opted for palliative radiotherapy for the primary thyroid cancer and made remarkable postoperative improvement. The authors conclude that surgical treatment of solitary metastatic lesion may produce good symptomatic relief irrespective of patient's age and primary pathology, while emphasising the need for detailed clinical evaluation of patients with 'red flag' symptoms.
Item Type:
Study
Language:
en
Local subject classification:
THYROID TUMOUR
MeSH:
Adenocarcinoma, Follicular; Aged; Female; Humans; Lumbar Vertebrae; Neuroimaging; Palliative Care; Sciatica; Spinal Cord Neoplasms; Thyroid Neoplasms
ISSN:
1757-790X

Full metadata record

DC FieldValue Language
dc.contributor.authorOgbodo, Elishaen_GB
dc.contributor.authorKaliaperumal, Chandrasekaranen_GB
dc.contributor.authorKeohane, Catherineen_GB
dc.contributor.authorBermingham, Niamhen_GB
dc.contributor.authorKaar, Georgeen_GB
dc.date.accessioned2013-11-12T16:16:26Z-
dc.date.available2013-11-12T16:16:26Z-
dc.date.issued2011-
dc.identifier.citationSciatica as a presenting feature of thyroid follicular adenocarcinoma in a 79-year-old woman. 2011, 2011: BMJ Case Repen_GB
dc.identifier.issn1757-790X-
dc.identifier.pmid22674960-
dc.identifier.doi10.1136/bcr.10.2011.5014-
dc.identifier.urihttp://hdl.handle.net/10147/305272-
dc.description.abstractThe authors describe an unusual case of metastatic thyroid follicular adenocarcinoma presenting with sciatica in a 79-year-old woman. The primary thyroid tumour was undiagnosed until this clinical presentation. The patient gave a short history of back pain and right-sided sciatica, which was progressive and nocturnal in nature. Neuroimaging revealed an enhancing intradural mass lesion, which was completely excised through a right L1-L3 hemilaminectomy. Histopathological examination of the excised tissue revealed a follicular thyroid carcinoma. Subsequent metastatic investigation revealed a heterogeneously attenuating mixed solid cystic mass in a retrosternal thyroid gland, with multiple solid pulmonary nodules suggestive of metastatic disease. She opted for palliative radiotherapy for the primary thyroid cancer and made remarkable postoperative improvement. The authors conclude that surgical treatment of solitary metastatic lesion may produce good symptomatic relief irrespective of patient's age and primary pathology, while emphasising the need for detailed clinical evaluation of patients with 'red flag' symptoms.en_GB
dc.language.isoenen
dc.rightsArchived with thanks to BMJ case reportsen_GB
dc.subject.meshAdenocarcinoma, Follicular-
dc.subject.meshAged-
dc.subject.meshFemale-
dc.subject.meshHumans-
dc.subject.meshLumbar Vertebrae-
dc.subject.meshNeuroimaging-
dc.subject.meshPalliative Care-
dc.subject.meshSciatica-
dc.subject.meshSpinal Cord Neoplasms-
dc.subject.meshThyroid Neoplasms-
dc.subject.otherTHYROID TUMOURen_GB
dc.titleSciatica as a presenting feature of thyroid follicular adenocarcinoma in a 79-year-old woman.en_GB
dc.typeStudyen
dc.contributor.departmentDepartment of Neurosurgery, Cork University Hospital, Cork, Ireland.en_GB
dc.identifier.journalBMJ case reportsen_GB
dc.description.fundingNo fundingen
dc.description.provinceMunsteren
dc.description.peer-reviewpeer-reviewen

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