Is pancreatic resection justified for metastasis of papillary thyroid cancer?

Meyer A; Behrend M Klinikum Deggendorf, Klinik für Viszeral-, Thorax-, Gefäss- und Kinderchirurgie, 94469 Deggendorf, Germany. BACKGROUND: This case report describes a patient with symptomatic anaemia due to a bleeding duodenal metastasis from metastasising differentiated thyroid cancer (DTC), which was treated by partial duodenopancreatectomy (DP). CASE REPORT: A 71-year old male was sent to hospital with severe anaemia.

This patient had suffered multiple cervical recurrences of differentiated papillary thyroid cancer, which had been treated by several resections and irradiation, and an adrenal gland metastasis, via adrenalectomy. Abdominal computed tomography showed an enlarged pancreatic head, an upper gastrointestinal endoscopy revealed a bleeding ulcer in the duodenum, and a biopsy revealed metastasis from DTC. Due to the symptomatic metastasis, a partial DP was performed; the postoperative course was uneventful.

Histopathological examination revealed metastasis of the DTC next ... more.

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