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Updated: Jan 22, 2026

Transoral Robotic Total Thyroidectomy and Bilateral Central Regional Lymph Node Dissection for Papillary Thyroid Carcinoma
Published on: September 15, 2023
Late-onset Metastasis of Intracranial Papillary Thyroid Carcinoma
İdris Avci1, Ozan Başkurt1, Selim Şeker1
1Department of Neurosurgery, University of Health Sciences Okmeydanı Training and Research Hospital, Istanbul, Turkey.
Background:
Papillary thyroid carcinoma is the most common subtype of thyroid cancers, accounting for >90% of all thyroid carcinomas. Despite a favorable long-term survival rate of 94.4%, people with distant metastases show worse outcome. Cerebral metastases are slightly uncommon and stand for only 1%-3% of all metastases.
Case Description:
We present a 56-year-old male patient complaining of serious headaches for >20 days. He underwent thyroidectomy surgery 13 years ago due to papillary thyroid carcinoma and was reported "tumor free" on his follow-ups without any complaints. On his cranial magnetic resonance imaging scan a right temporal mass lesion was detected. During surgery, the tumor was removed and reported as papillary thyroid carcinoma metastasis.
Conclusion:
A case in which a patient with papillary thyroid carcinoma developed brain metastasis after such a long time was not reported in the literature before.
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