Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Sep 16, 2022; 10(26): 9493-9501
Published online Sep 16, 2022. doi: 10.12998/wjcc.v10.i26.9493
Follicular carcinoma of the thyroid with a single metastatic lesion in the lumbar spine: A case report
Yao-Kun Chen, Yu-Chun Chen, Wei-Xun Lin, Jie-Hua Zheng, Yi-Yuan Liu, Juan Zou, Jie-Hui Cai, Ze-Qi Ji, Ling-Zhi Chen, Zhi-Yang Li, Ye-Xi Chen
Yao-Kun Chen, Wei-Xun Lin, Jie-Hua Zheng, Yi-Yuan Liu, Juan Zou, Jie-Hui Cai, Ze-Qi Ji, Ling-Zhi Chen, Zhi-Yang Li, Ye-Xi Chen, Department of Thyroid, Breast and Hernia Surgery, The Second Affiliated Hospital of Shantou University Medical College, Shantou 515000, Guangdong Province, China
Yu-Chun Chen, Department of Bone, Joint and Spine Surgery, The Second Affiliated Hospital of Shantou University Medical College, Shantou 515000, Guangdong Province, China
Author contributions: All authors contributed to the study conception and design; Chen YX and Li ZY performed the literature concept; Chen YK and Chen YC wrote the original draft and resources; Lin WX and Zheng JH reviewed and edited the manuscript; Liu YY, Zou J, Cai JH, Ji ZQ and Chen LZ investigated and collected these cases; All authors have read and approved the final manuscript; Chen YK and Chen YC contributed equally to this work.
Supported by the Medical Scientific Research Foundation of Guangdong Province, China, No. A2021432 and B2021448; the Shantou Medical Science and Technology Planning Project, No. 210521236491457 and 210625106490696; and the Undergraduate Innovation Training Project of Shantou University, No. 31/38/47/54.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All authors have no relevant financial or non-financial interests to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ye-Xi Chen, MD, Chief Doctor, Professor, Department of Thyroid, Breast and Hernia Surgery, The Second Affiliated Hospital of Shantou University Medical College, No. 69 North Dongxia Road, Shantou 515000, Guangdong Province, China. yxchen3@stu.edu.cn
Received: May 12, 2022
Peer-review started: May 12, 2022
First decision: June 8, 2022
Revised: June 17, 2022
Accepted: August 11, 2022
Article in press: August 11, 2022
Published online: September 16, 2022
Processing time: 112 Days and 17.2 Hours
Core Tip

Core Tip: Although bone metastasis from differentiated thyroid cancer is common, it is very rare for bone metastasis to be the solitary presentation of thyroid cancer. Here, we present a case of bone metastasis of follicular thyroid carcinoma with no indication of primary cancer. The patient had undergone partial thyroidectomy 20 years previously for thyroid nodules, but the pathological diagnosis at that time was a benign thyroid lesion. We employed a multi-institution, multidisciplinary team to diagnose and treat this patient, and she has had a good outcome thus far. This case highlights several important issues, such as the importance of follow-up for patients with seemingly indolent lesions and the utility of a comprehensive treatment approach.