Abstract
The revolution of imaging in medicine leads to new standards of care, mostly in specialties like oncology, neurology, or endocrinology. We present a review of the literature and a case report of a 62-year-old patient initially treated for a benign gynecologic pathology and followed-up for 7 years clinically, with serologic and with multiple imaging techniques. There is an actual growing use of highly sensitive functional imaging methods, like fluoro-deoxy-glucose (F18-FDG) positron emission tomography/computed tomography (PET/CT) in the evaluation of oncologic pathologies, staging, follow-up, and therapy response monitoring. This is the first case report described in the literature presenting the association of thyroid papillary microcarcinoma (MPTC) and supraclavicular metastasis of ovarian cancer. The study aims to underline the necessity of a complex and careful evaluation of each oncologic patient, due to the unexpected clinical presentation and rare association of diseases, sometimes leading to confusing management.
Highlights
Ovarian cancer (OC) spreads most frequently through the intra-peritoneal channels in such way that, in the majority of cases, the disease remains at the pelvic and abdominal levels [1,2,3,4,5,6]
Of a supraclavicular lymph node in a case of known thyroid carcinoma is highly The presence of a supraclavicular lymph a case oftoknown thyroid carcinoma is highly suggestive of metastasis from the thyroid; it isnode less in probable consider another cancer to be the suggestive of metastasis thyroid; itfor is less consider another cancer to be the source for this metastasisfrom andthe improbable it toprobable be from to ovarian cancer
Thy 5—suspicious for malignancy—in the thyroid shape, highly for hilar and peripheral vascularity, hypoechoic, not hyperechoic, and nodule and the ultrasound characteristics of the lymph node made us think of an origin of the lymph node metastasis other than the thyroid vascularity, predominantly hypoechoic, not hyperechoic, and without calcification) made us think of gland
Summary
Ovarian cancer (OC) spreads most frequently through the intra-peritoneal channels in such way that, in the majority of cases, the disease remains at the pelvic and abdominal levels [1,2,3,4,5,6]. Of a supraclavicular lymph node in a case of known thyroid carcinoma is highly The presence of a supraclavicular lymph a case oftoknown thyroid carcinoma is highly suggestive of metastasis from the thyroid; it isnode less in probable consider another cancer to be the suggestive of metastasis thyroid; itfor is less consider another cancer to be the source for this metastasisfrom andthe improbable it toprobable be from to ovarian cancer. In this situation, thesource most for this metastasis and improbable for it to be from ovarian cancer.
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