alexa Dramatic Radiographic Appearance of Lytic Bone Metastases from Follicular Thyroid Carcinoma | OMICS International
ISSN: 2161-0533
Orthopedic & Muscular System: Current Research

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Dramatic Radiographic Appearance of Lytic Bone Metastases from Follicular Thyroid Carcinoma

Chandan Kumar Jha1*, Alok Anshu2 and Sudhanshu Shekhar3

1Department of Endocrine and Breast Surgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India

2Department of Surgery, Command Hospital Air Force, India

3Department of General Surgery, Nalanda Medical College and Hospital, Patna, India

*Corresponding Author:
Chandan Kumar Jha
Department of Endocrine and Breast Surgery
Sanjay Gandhi Postgraduate Institute of Medical Sciences
Lucknow, India
Tel: + 91 9506280394
E-mail: [email protected]

Received Date: August 22, 2017; Accepted Date: August 22, 2017; Published Date: August 30, 2017

Citation: Jha CK, Anshu A, Shekhar S (2017) Dramatic Radiographic Appearance of Lytic Bone Metastases from Follicular Thyroid Carcinoma. Orthop Muscular Syst 6: 245. doi:10.4172/2161-0533.1000245

Copyright: © 2017 Jha CK, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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Description

Skeleton is the second most common site after lungs to be involved by hematogenous spread from follicular thyroid cancers [1]. Although most distant metastases from FTC are revealed by postoperative radioiodine whole body scans, plain radiography may be helpful in cases which present late or are grossly symptomatic. One problem with plain radiography is that it may not demonstrate the lesion until the lesion is >1 cm and hence has a lower sensitivity for detection of skeletal metastasis [2]. But in cases of delayed/symptomatic presentations the appearance of metastatic can be dramatic and radiography can help surgeons in preventing complication (fractures/spinal cord compression) and improving the quality of life by expectant and early management of severely deformed/destroyed skeleton. Early surgical intervention in such cases also helps in facilitation of more effective postoperative radiiodine therapy [3] (Figures 1 and 2).

orthopedic-muscular-system-current-research-osteolytic

Figure 1: An expansile osteolytic lesion with cortical thinning and destruction involving upper meta-diaphysis of right humerus.

orthopedic-muscular-system-current-research-lesions

Figure 2: Multiple well defined osteolytic lesions within the calvarium of same patient.

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