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Case Rep Med. 2012;2012:659654. doi: 10.1155/2012/659654. Epub 2012 Oct 24.

Metastasis of dermatofibrosarcoma from the abdominal wall to the thyroid gland: case report.

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1
2nd Department of Internal Medicine, Faculty Hospital Bulovka, 18081 Prague, Czech Republic.

Abstract

Metastases in the thyroid gland are very rare. Even the rarer are sarcoma metastases. A 52-year-old woman was referred to our department for evaluation of a nodule in the right lobe of the thyroid gland. She had a history dermatosarcoma of the abdominal wall with known metastasis in the lung. Clinically she had neck pain and worsened swallowing. Objective assessment (ultrasound, computed tomography, and magnetic resonance) indicated a voluminous right lobe nodule with mechanical syndrome, and a fine-needle aspiration biopsy revealed a very suspicious malignant finding. After surgery, the diagnosis was metastasis of dermatofibrosarcoma protuberans. Subsequent treatment was radio- and chemotherapy.

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