Multiple giant scalp metastases of a follicular thyroid carcinoma
© Cupisti et al; licensee BioMed Central Ltd. 2008
Received: 07 April 2008
Accepted: 11 August 2008
Published: 11 August 2008
The occurrence of skin metastases are rare events in the course of a follicular thyroid carcinoma (FTC) and usually indicate advanced tumor stages. The scalp is the most affected area of these metastases.
We present a case of a 76 year old Woman with multiple giant scalp metastases of a follicular carcinoma. These metastases had been resected and wounds had been closed with mesh graft. The 14-months follow up is presented.
We demonstrate another case with multicentric form. Because of its location and size a primary wound closure was not possible. A healing could be reached using vacuum therapy and mesh graft transplantation.
The occurrence of skin metastases are rare events in the course of a follicular thyroid carcinoma (FTC) and usually indicate advanced tumor stages. The scalp is the most affected area of these metastases [1–6]. Operations are mostly performed with palliative intention. We present a case with extensive and symptomatic scalp metastases in a female patient. The tumors were resected under general anaesthesia. Mesh graft was successfully used to cover the skin defects.
Follicular thyroid carcinomas (FTC) often spread to bones and lung . The occurrence of cutaneous metastases is a rare event. Many different locations have been decribed as abdomen, back and front thigh , but predominantely the skin of head and neck is affected [1–6]. In a review of the literature Quinn and coworkers  found scalp metastases in 9 of 14 patients with cutaneous metastases of FTC. In a study of Erickson and coworkers  none of 5 FTC metastatic to the skin showed BRAF(V600E) mutation (T1799A).
We demonstrate another case with multicentric form. Because of its location and size a primary wound closure was not possible. A healing could be reached using vacuum therapy and mesh graft transplantation. The palliative long term cosmetic and functional result was excellent.
Written informed consent was obtained from the patient for publication of this case report and any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.
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