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Vol 3, No 4 (2004): Polish Palliative Medicine
Case reports
Published online: 2004-09-21
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Follicular thyroid cancer and its distant metastasis - case report

Joanna Kłubo-Gwieździńska, Roman Junik
Advances in Palliative Medicine 2004;3(4):373-378.

open access

Vol 3, No 4 (2004): Polish Palliative Medicine
Case reports
Published online: 2004-09-21

Abstract

An increased morbidity of thyroid cancer is observed in Poland. Papillary and follicular thyroid cancers, usually have a mild clinical course and good prognosis. We present a rare case in which a 64 years old woman had untreatable follicular thyroid cancer with numerous distant metastases: to the lungs, the brain and the retroperitoneal space. We present the scheme of the palliative treatment conducted in this case. The aim of the article is to analize the reasons behind the complicated clinical course of the disease and the causes of the therapeutic failure. The delayed onset of proper treatment, caused by medical negligence — the lack of a specialistic histopathological analysis after thyroidectomy, appeared to be the main reason of the therapeutic failure. The medical standard for patients with nodular goiter, qualified for surgical treatment, is an exact histopathological examination of the material obtained at thyroidectomy. The exact histopathological examination and the correct interpretation of the result, is crucial for further treatment. Proper education of the patient is also very important, because it allows regular monitoring of even asymptomatic patients.

Abstract

An increased morbidity of thyroid cancer is observed in Poland. Papillary and follicular thyroid cancers, usually have a mild clinical course and good prognosis. We present a rare case in which a 64 years old woman had untreatable follicular thyroid cancer with numerous distant metastases: to the lungs, the brain and the retroperitoneal space. We present the scheme of the palliative treatment conducted in this case. The aim of the article is to analize the reasons behind the complicated clinical course of the disease and the causes of the therapeutic failure. The delayed onset of proper treatment, caused by medical negligence — the lack of a specialistic histopathological analysis after thyroidectomy, appeared to be the main reason of the therapeutic failure. The medical standard for patients with nodular goiter, qualified for surgical treatment, is an exact histopathological examination of the material obtained at thyroidectomy. The exact histopathological examination and the correct interpretation of the result, is crucial for further treatment. Proper education of the patient is also very important, because it allows regular monitoring of even asymptomatic patients.
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Keywords

follicular thyroid cancer; cytological; histopathological examination; palliative treatment

About this article
Title

Follicular thyroid cancer and its distant metastasis - case report

Journal

Advances in Palliative Medicine

Issue

Vol 3, No 4 (2004): Polish Palliative Medicine

Pages

373-378

Published online

2004-09-21

Bibliographic record

Advances in Palliative Medicine 2004;3(4):373-378.

Keywords

follicular thyroid cancer
cytological
histopathological examination
palliative treatment

Authors

Joanna Kłubo-Gwieździńska
Roman Junik

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