Top

Archives of Orthopaedic and Trauma Surgery

Published in:

01-12-2010 | Orthopaedic Surgery

Soft tissue metastasis of thyroid carcinoma in the knee region mimicking a paraarticular inflammatory lesion

Authors: Torsten Prietzel, Anna Macher, Irina Haferkorn, Nicole Schmitz, Frank Schmidt, Thomas Aigner

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 12/2010

Abstract

We report a case of a 57-year-old male patient presenting with a painful mass in the popliteal fossa of the left knee, while the X-ray being unremarkable, MRI suggested a paraarticular lesion such as an inflamed paraarticular ganglion. A biopsy showed a poorly differentiated metastasis of a papillary thyroid carcinoma, the patient had been operated on 8 years ago. This case emphasizes that in patients with malignancies such as papillary thyroid carcinomas long-term courses (over years) with several phases of tumor spread occur finally leading to filiae in any location. Thus, in such patients, a metastatic lesion even in unusual places such as the periarticular soft tissue should be included in the differential diagnosis.

DeLellis RA, Williams ED (2004) Thyroid and parathyroid tumors. In: DeLellis RA et al. (eds). Tumours of endocrine organs. WHO, IARC, Lyon

Gagel MD, Goepfert MD, Callender MD (1996) Changing concepts in the pathogenesis an management of thyroid carcinoma. CA Cancer J Clin 46:261–283CrossRefPubMed

Liska J, Altanerova V, Galbavy S et al (2005) Thyroid tumors: histological classification and genetic factors involved in the development of thyroid cancer. Endocr Regul 39:73–83PubMed

Mizukami Y, Michigishi T, Nonomura A et al (1990) Distant metastases in differentiated thyroid carcinomas: a clinical and pathologic study. Hum Pathol 21:283–290CrossRefPubMed

Pacini F, Schlumberger M, Dralle H et al (2006) European consensus for the management of patients with differentiated thyroid carcinoma of the follicular epithelium. Eur J Endocrinol 154:787–803CrossRefPubMed

Pucci A, Suppo M, Lucchesi G et al (2006) Papillary thyroid carcinoma presenting as a solitary soft tissue arm metastasis in an elderly hyperthyroid patient: case report and review of the literature. Virchows Arch 448:857–861CrossRefPubMed

Tickoo SK, Pittas AG, Adler M et al (2000) Bone metastases from thyroid carcinoma: a histopathologic study with clinical correlates. Arch Pathol Lab Med 124:1440–1447PubMed

Title: Soft tissue metastasis of thyroid carcinoma in the knee region mimicking a paraarticular inflammatory lesion
Authors: Torsten Prietzel
Anna Macher
Irina Haferkorn
Nicole Schmitz
Frank Schmidt
Thomas Aigner
Publication date: 01-12-2010
Publisher: Springer-Verlag
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 12/2010
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-009-1043-1

ACC 2024 Congress

Springer Medicine

Soft tissue metastasis of thyroid carcinoma in the knee region mimicking a paraarticular inflammatory lesion

Abstract

ACC 2024 Congress

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 12/2010

Do locking plates have a role in orthopaedic oncological reconstruction

Serum metal ion levels after second-generation metal-on-metal total hip arthroplasty

Lateral unicompartmental knee arthroplasty: a review

Inter- and intra-observer reliability of the Cobb angle in the measurement of vertebral, local and segmental kyphosis of traumatic lumbar spine fractures in the lateral X-ray

Rare complication after VAC-therapy in the treatment of deep sore ulcers in a paraplegic patient

Initial increased wear debris of XLPE-Al2O3 bearing in total hip arthroplasties