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Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery 2015; 34(01): 053-055
DOI: 10.1055/s-0035-1547379
Case Report | Relato de Caso
Thieme Publicações Ltda Rio de Janeiro, Brazil

Low Back Pain as the First Presentation of Hürthle Cell Carcinoma of Thyroid

Lombalgia como a primeira manifestação do carcinoma de células de Hürthle
Ricardo Vieira Botelho
1   Neurosurgeon, Department of Neurosurgery, Hospital do Servidor Público Estadual de São Paulo, IAMSPE, São Paulo, Brazil
,
Matheus Fernandes de Oliveira
2   Neurosurgery Residency Program - Department of Neurosurgery - Hospital do Servidor Público Estadual de São Paulo, São Paulo, Brazil
,
Sílvio Tenório Gameleira Filho
2   Neurosurgery Residency Program - Department of Neurosurgery - Hospital do Servidor Público Estadual de São Paulo, São Paulo, Brazil
,
Jânio Alves Ferreira
2   Neurosurgery Residency Program - Department of Neurosurgery - Hospital do Servidor Público Estadual de São Paulo, São Paulo, Brazil
,
Leonardo Rafael Takahashi
2   Neurosurgery Residency Program - Department of Neurosurgery - Hospital do Servidor Público Estadual de São Paulo, São Paulo, Brazil
,
José Marcus Rotta
1   Neurosurgeon, Department of Neurosurgery, Hospital do Servidor Público Estadual de São Paulo, IAMSPE, São Paulo, Brazil
› Author Affiliations
Further Information

Publication History

10 December 2013

01 November 2014

Publication Date:
29 April 2015 (online)

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Abstract

Hürthle cell carcinoma is a rare variant of differentiated thyroid cancer and occasionally generates distant metastases. There are few reports of Hürthle cell carcinoma metastases to the vertebral column and none with sacral involvement. Here, we report a 48-year-old woman with a 2-year history of moderate low back pain, alleviated with analgesic medication. Her previous medical files were unremarkable. She performed medical evaluation, and a magnetic resonance of lumbar spine revealed a solitary hypointense T2 lesion on the left lamina of S1. The patient was submitted to percutaneous biopsy that displayed carcinomatous pattern compatible with Hürthle cell carcinoma of thyroid. After that, she was submitted to thyroid ultrasound that showed a nodule. Even in the presence of metastases, patients with Hürthle cell carcinoma usually have a relatively good prognosis. We discuss aspects of the diagnosis, management, and surgical treatment of metastatic Hürthle cell carcinoma in reference to the literature.

Resumo

O carcinoma das células de Hürthle é uma variante rara do câncer de tireoide. Existem poucos relatos de metástases dessas lesões para a coluna vertebral. Nós relatamos o caso de uma paciente de 48 anos com história de dois anos de lombalgia. Ela era previamente hígida. A avaliação radiológica evidenciou uma lesão solitária na lamina esquerda de S1. Após biópsia percutânea, foi diagnosticado o carcinoma, sendo diagnosticada também uma lesão sincrônica em tireoide. Nós discutimos os aspectos, clínicos, radiológicos e de tratamento no caso supracitado.

Keywords

low back pain - spinal diseases - neoplasm metastasis

Palavras-chave

dor lombar - doenças da coluna vertebral - metástase neoplásica
 

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