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©The Author(s) 2022.
World J Clin Cases. Sep 16, 2022; 10(26): 9493-9501
Published online Sep 16, 2022. doi: 10.12998/wjcc.v10.i26.9493
Published online Sep 16, 2022. doi: 10.12998/wjcc.v10.i26.9493
Figure 1 Computed tomography images obtained before surgery.
The posterior mass at the L4 was considered to be a metastatic tumor with secondary spinal stenosis. A and B: Sagittal view of the lumbar spine; C and D: Magnification of the sagittal plane; E: Horizontal view of the lumbar spine.
Figure 2 Magnetic resonance imaging images obtained before surgery.
The lesion at the L4 vertebra and left adnexa was considered a malignant tumor. Spinal canal stenosis at the L4/5 disc level was observed. A and B: Sagittal view of the lumbar spine; C and D: Horizontal view of the lumbar spine.
Figure 3 Positron emission tomography-computed tomography images obtained before surgery.
There was L4 vertebral expansionary osteolytic bone destruction accompanied by increased uneven metabolism. A: Mild intake of fluorodeoxyglucose; B: Coronal view of the lumbar spine; C: Horizontal view of the lumbar spine; D: Sagittal view of the lumbar spine.
Figure 4 L4 vertebral body surgery.
A: Complete removal of the L4 vertebrae; B: Replacement and fixation of artificial vertebral body.
Figure 5 Routine postoperative radiography.
A: Anteroposterior lumbar vertebrae; B. Lateral lumbar vertebrae.
Figure 6 Postoperative pathology of the L4 pyramids.
The thyroid follicular structure was observed in the bone and bone marrow tissue, and thyroid cancer metastasis was considered. A: Gross specimen of the L4 vertebra; B and C: Follicular structure (40 × and 100 ×; hematoxylin and eosin); D: Immunohistochemistry indicated that the tumor was positive for galectin-3.
Figure 7 Pathological analysis of the right nodular goiter with partial adenomatous hyperplasia, left nodular goiter with partial atypical adenomatous hyperplasia nodules and isthmus nodular goiter.
A: Follicular structure [20 ×; hematoxylin and eosin (HE)]; B: Pathological mitosis (40 ×; HE).
- Citation: Chen YK, Chen YC, Lin WX, Zheng JH, Liu YY, Zou J, Cai JH, Ji ZQ, Chen LZ, Li ZY, Chen YX. Follicular carcinoma of the thyroid with a single metastatic lesion in the lumbar spine: A case report. World J Clin Cases 2022; 10(26): 9493-9501
- URL: https://www.wjgnet.com/2307-8960/full/v10/i26/9493.htm
- DOI: https://dx.doi.org/10.12998/wjcc.v10.i26.9493