OCCULT PAPILLARY THYROID CARCINOMA WITH UNUSUAL NEUROLOGIC MANIFESTATION
Autori:
Jasna Talan-Hranilović, Majda Vučić, Hrvoje Hećimović, Vesna Vargek-Solter, Miljenko Kalousek, Vida Demarin
Sažetak
Sažetak. Prikazan je bolesnik sa sve jačim spoznajnim teškoćama i epileptičkim napadajima Jacksonova tipa uz CT prikaz nedefiniranih brojnih lezija kore velikog mozga. Obdukcija nakon smrti pokazala je brojne metastaze velikog mozga uz primarni okultni karcinom štitne žlijezde. Nađena je pojedinačna metastaza lijevog bubrega i limfni rasap u plućima. Primarni okultni papilarni karcinom štitne žlijezde s brojnim metastazama velikog mozga i prezentiranim neurološkim simptomima još nije prikazan u literaturi.
Summary
Summary. We present a patient who had progressive cognitive decline and Jackson epileptic seizures and CT scan of nonspecific multiple cortical lesions. Post mortem examination revealed multiple cortical metastases of the brain and primary occult papillary carcinoma of the thyroid gland. Solitary metastases of the left kidney and pulmonary lymphangitic spread were also present. Multiple cortical metastases of the brain from primary occult symptoms have not been reported previously.
