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Thyroid metastasis from esophageal adenocarcinoma: a case report and literature review

Authors
  • Yumoto, Shinsei
  • Baba, Yoshifumi
  • Nomoto, Daichi
  • Oozono, Kazutaka
  • Eto, Kojiro
  • Hiyoshi, Yukiharu
  • Nagai, Yohei
  • Iwatsuki, Masaaki
  • Iwagami, Shiro
  • Miyamoto, Yuji
  • Yoshida, Naoya
  • Mikami, Yoshiki
  • Baba, Hideo
Type
Published Article
Journal
Surgical Case Reports
Publisher
Springer Berlin Heidelberg
Publication Date
Aug 30, 2019
Volume
5
Issue
1
Identifiers
DOI: 10.1186/s40792-019-0695-5
Source
Springer Nature
Keywords
License
Green

Abstract

BackgroundThe incidence of metastatic spread of gastrointestinal malignancies to the thyroid gland is relatively low and most of these malignancies originate from the colorectum. Thyroid metastasis originating from the esophagus is poorly documented.Case presentationA 79-year-old man presented with hoarseness of voice and swallowing difficulty. Eighteen months earlier, he had undergone preoperative chemotherapy (S-1 and oxaliplatin [SOX] therapy) and subtotal esophagectomy with regional lymph nodes dissection and retrosternal narrow gastric tube reconstruction for advanced Barrett’s esophageal adenocarcinoma. In the ultrasonographic examination, there was a hypoechoic, indistinct border and heterogeneous nodule in the left lobe of the thyroid gland. Pathological examination of an ultrasound-guided fine-needle aspiration showed adenocarcinoma, supporting a diagnosis of esophageal adenocarcinoma metastases in the thyroid.ConclusionThis is a first case of a patient with thyroid metastasis from Barrett’s esophageal adenocarcinoma after subtotal esophagectomy.

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