Metastatic Follicular Carcinoma of Thyroid to Pericardium
SUNANTA CHIEWVIT, M.D.*, PIPAT CHIEWVIT, M.D.**, VIYADA ATTANATHO, M.D.*, PAWANA PUSUWAN,M.D.*, RUDEE PLEEHACHINDA, M.D.*, JIRAPORN MONGKHARUK, M.D.*
Affiliation : * Division of Nuclear Medicine, ** Division of Diagnosis Radiology, Department of Radiology. Faculty of Medicine, Siriraj Hospital. MahiJol University, Bangkok 10700, Thailand.
Abstract 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.
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