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Metastatic follicular thyroid carcinoma: a case report
Hans Sathasivam1,2,3, Yi M Loh1, Chee L Saw2
1Department of Oral Surgery, Oral Medicine & Oral Pathology, Hospital Sultan Ismail, Johor Bharu, Malaysia.
Gerodontology
|July 8, 2016
Summary
Metastatic follicular thyroid carcinoma can present as a mandibular swelling in older adults. This case highlights the importance of considering metastatic tumors in the differential diagnosis of such oral presentations.
Area of Science:
- Endocrinology
- Oncology
- Oral Pathology
Background:
- Metastatic tumors are more common in elderly patients.
- Metastases can be the initial presentation of an occult primary cancer.
- Oral metastases, though rare, warrant consideration in differential diagnoses.
Observation:
- A 69-year-old female patient presented with a growing swelling in her mandible.
- Initial investigations included incisional biopsy and imaging studies.
- The clinical presentation suggested a metastatic follicular thyroid carcinoma.
Findings:
- The incisional biopsy and imaging confirmed metastatic follicular thyroid carcinoma.
- The mandibular swelling was indicative of a secondary malignancy.
- This case represents an unusual oral manifestation of thyroid cancer.
Implications:
- Mandibular swellings in older individuals should prompt consideration of metastatic disease.
- Early recognition of oral metastases is crucial for timely diagnosis and management.
- This case underscores the need for a broad differential diagnosis in head and neck oncology.
