Metastatic throid cancer and rib osteochondroma

Case contributed by Dr Craig Hacking

Presentation

Worsening cough

Patient Data

Age: 68
Gender: Male

There is extensive mediastinal and right and left hilar lymph adenopathy. Surgical clips in the right neck in keeping with previous thyroidectomy.

Calcified lesion is right fifth rib anterior aspect is an osteochondroma.

Case Discussion

Surgical clips in the neck give the cause of the nodal disease away  - the patient had a thyroidectomy a year before for medullary thyroid cancer.

The rib lesion is calcified and there is loss of the rib cortex confirming it arising from the rib rather than the lung or pleura. It also has the typical calcification for an osteochondroma.

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Case information

rID: 37776
Case created: 22nd Jun 2015
Last edited: 15th Jan 2016
Inclusion in quiz mode: Included

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