Thyroid Metastasis as the Initial Presentation of an Asymptomatic Clear Cell Renal Carcinoma

Authors

  • Janine Carmelino Serviço de Cirurgia Geral. Hospital de Curry Cabral. Centro Hospitalar de Lisboa Central. Lisboa. Portugal.
  • Ana Paula Tavares Serviço de Cirurgia Geral. Hospital de Curry Cabral. Centro Hospitalar de Lisboa Central. Lisboa. Portugal.
  • Ana Crespo Serviço de Cirurgia Geral. Hospital de Curry Cabral. Centro Hospitalar de Lisboa Central. Lisboa. Portugal.
  • José Mário Coutinho Serviço de Cirurgia Geral. Hospital de Curry Cabral. Centro Hospitalar de Lisboa Central. Lisboa. Portugal.
  • António Lázaro Serviço de Anatomia Patológica. Hospital de Curry Cabral. Centro Hospitalar de Lisboa Central. Lisboa. Portugal.
  • Vasco Ribeiro Serviço de Cirurgia Geral. Hospital de Curry Cabral. Centro Hospitalar de Lisboa Central. Lisboa. Portugal.
  • Eduardo Barroso Serviço de Cirurgia Geral. Hospital de Curry Cabral. Centro Hospitalar de Lisboa Central. Lisboa. Portugal.

DOI:

https://doi.org/10.20344/amp.7277

Keywords:

Carcinoma, Renal Cell, Neoplasm Metastasis, Thyroid Neoplasms/secondary.

Abstract

Introduction: Clear cell renal carcinoma metastases to the thyroid gland are rare and only diagnosable after an immunohistochemistry analysis of the histological sample. The purpose of this article is to report a case of thyroid metastasis as the initial presentation of a clear cell renal carcinoma.
Case Report: Male patient with a solid nodule in the left lobe of the thyroid, 5.3 cm in diameter, suspicious of malignancy, for which a total thyroidectomy with central compartment lymphadenectomy was performed. Histology revealed two clear cell renal carcinoma metastases. After evaluation of the kidney, the patient underwent radical nephrectomy four months later.
Discussion: What makes this case interesting is that thyroid metastases as the initial presentation of renal cell carcinoma are rare, but if treated early, a ‘double surgical resection’ is possible, leading to a 5 year survival rate of 80%.

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Published

2016-11-30

How to Cite

1.
Carmelino J, Tavares AP, Crespo A, Coutinho JM, Lázaro A, Ribeiro V, Barroso E. Thyroid Metastasis as the Initial Presentation of an Asymptomatic Clear Cell Renal Carcinoma. Acta Med Port [Internet]. 2016 Nov. 30 [cited 2024 Mar. 29];29(11):755-8. Available from: https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7277

Issue

Section

Case Report