TITLE:
Unusual Scalp Process Revealing a Thyroid Cancer: “Illustrative Case”
AUTHORS:
Ibrahim Dao, Ademayali Franck Auguste Hermann Ido, Abdoulaye Adamou Babana, Abdoulaye Sanou, Ousmane Ouattara, Souleymane Ouattara, Astride Somda, Haoua Alzouma, Sylvain Delwendé Zabsonré, Abel Kabré
KEYWORDS:
Thyroid Cancer, Follicular Thyroid Cancer, Papillary Thyroid Cancer, Subcutaneous, Metastasis, Surgery
JOURNAL NAME:
Open Journal of Modern Neurosurgery,
Vol.13 No.4,
October
31,
2023
ABSTRACT: Background: Thyroid cancers commonly display slow evolution with local and or regional extension. The classic presentation is a painless nodule of the thyroid region in a euthyroid patient. Sometimes, the nodule is discovered only on ultrasonography. Cervical lymph node is often seen in papillary thyroid cancer due to their propensity to invade lymph node. This means that follicular thyroid cancers are more insidious. Observation: We report a painless slow-growing lesion of the scalp revealing a skull metastasis of thyroid cancer. Despite catastrophic intraoperative bleeding, a total removal was achieved. Lessons: Thus, in addition to local and regional control in the management of thyroid cancers, distant metastasis should be surgically removed to provide the best chance to prolong the patient’s survival. Moreover, neurosurgeon must be prepared to deal with massive bleeding in skull metastasis of thyroid cancer.