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Metastatic follicular thyroid carcinoma to the paranasal sinuses: a case report and review

Published online by Cambridge University Press:  29 June 2007

Ken W. Altman ,
Natasha Mirza  and
Lucien Philippe
Ken W. Altman
Affiliation:
Department of Otorhinolaryngology–Head & Neck Surgery,Hospital of the University of Pennsylvania, Philadelphia, PA.
Natasha Mirza*
Affiliation:
Department of Otorhinolaryngology–Head & Neck Surgery,Hospital of the University of Pennsylvania, Philadelphia, PA.
Lucien Philippe
Affiliation:
Department of PathologyVeterans Administration Medical Center, Philadelphia, PA, USA.
*
Address for correspondence: Natasha Mirza, M.D., Department of Otorhinolaryngology-HNS, Hospital of the University of Pennsylvania, 3400 Spruce Street, 5 Ravdin, Philadelphia, PA 19104, USA.
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Abstract

Thyroid carcinoma metastatic to the paranasal sinuses is extremely rare, with only 11 cases reported in the English and European literature. We report a case of metastatic follicular thyroid carcinoma to the clivus with extension into the sphenoid and posterior ethmoid sinuses. Pathological diagnosis was obtained using an intranasal endoscopic biopsy. As with our patient, metastatic thyroid carcinoma may present with symptoms related to distant metastases rather than the primary lesion. Distant metastases in differentiated thyroid carcinoma portends a poor prognosis. Our case of metastatic thyroid carcinoma to the paranasal sinuses is summarized in the context of the 11 additional cases, and treatment options are discussed.

Keywords

Thyroid neoplasmsNeoplasm metastasisParanasal sinusesEndoscopy
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 111 , Issue 7 , July 1997 , pp. 647 - 651
Copyright
Copyright © JLO (1984) Limited 1997

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