[A Somehow Different Cause of an Upper Gastrointestinal Bleeding]
Peter Schaub1,2, C I Ursu3, Peter Wiesli1
1Medizinische Klinik, Kantonsspital Frauenfeld, Frauenfeld.
Praxis
|December 12, 2024
Summary
An elderly patient presented with melena due to upper gastrointestinal bleeding. This bleeding was caused by a metastasis from a previously treated follicular thyroid carcinoma.
Area of Science:
- Oncology
- Gastroenterology
- Endocrinology
Background:
- Presents a rare case of upper gastrointestinal bleeding in an 89-year-old male.
- The bleeding was identified as a symptom of metastasis from a follicular thyroid carcinoma, diagnosed and surgically treated in 1996.
Purpose of the Study:
- To report a unique presentation of metastatic follicular thyroid carcinoma.
- To highlight the potential for late gastrointestinal metastasis from thyroid cancer.
Main Methods:
- Case report detailing clinical presentation, diagnostic findings, and management.
- Review of patient's medical history including prior thyroid cancer surgery.
Main Results:
- Upper gastrointestinal bleeding, presenting as melena, was the primary symptom.
- Diagnostic investigations confirmed metastasis from follicular thyroid carcinoma as the source of bleeding.
Conclusions:
- Metastasis from follicular thyroid carcinoma can manifest years after primary treatment.
- Upper gastrointestinal bleeding should be considered in the differential diagnosis for patients with a history of thyroid cancer.
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