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Case ReportOpen Access
Metastatic Follicular Carcinoma of Thyroid to Pericardium
Chiewvit S 
,
Pusuwan P ,
Chiewvit P ,
Pleehachinda R ,
Attanatho V ,
Mongkharuk J
,
Pusuwan P ,
Chiewvit P ,
Pleehachinda R ,
Attanatho V ,
Mongkharuk J A 62 year-old man presented with massive pericardia] effusion and a thyroid nodule.
One thousand ml of serosanguinous pericardia! effusion was tapped and the cytology consistent
with metastatic papillary carcinoma. Total thyroidectomy was done. The pathological report of
the thyroid gland was follicular carcinoma, poorly differentiated with capsular and vascular
invasion. The patient received a treatment of 150 mci I-131 without complications. The total
body scan after I-131 treatment showed only residual thyroid tissue. There was no demonstrable
abnormal uptake in other parts of the body. No significant reaccumulation of pericardia! fluid
occurred. The diagnosis was follicular carcinoma of the thyroid with pericardia! metastasis.
The patient was discharged from the hospital with an improved clinical status.
One thousand ml of serosanguinous pericardia! effusion was tapped and the cytology consistent
with metastatic papillary carcinoma. Total thyroidectomy was done. The pathological report of
the thyroid gland was follicular carcinoma, poorly differentiated with capsular and vascular
invasion. The patient received a treatment of 150 mci I-131 without complications. The total
body scan after I-131 treatment showed only residual thyroid tissue. There was no demonstrable
abnormal uptake in other parts of the body. No significant reaccumulation of pericardia! fluid
occurred. The diagnosis was follicular carcinoma of the thyroid with pericardia! metastasis.
The patient was discharged from the hospital with an improved clinical status.
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