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Thyroid metastasectomy for deposits from colorectal cancer: case report and non-systematic review

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SPRINGER WIEN
DOI: 10.1007/s12254-021-00717-1

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Colon cancer; Rectal cancer; Thyroid secondaries; Thyroid metastasectomy; Case report

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Colorectal cancer commonly presents with distant metastasis, with thyroid metastasis being rarely reported. Metachronous thyroid metastasis from CRC, often originating from colon cancer, is associated with good survival rates. Further research comparing survival rates of thyroid metastasis patients with other metastatic sites is recommended.
Background Colorectal cancer (CRC) commonly presents with distant metastasis, either at presentation (synchronous) or during the disease course (metachronous). Although the most common site of spread includes liver, lung and peritoneum, thyroid metastasis is also rarely reported with unknown natural history. Case presentation We report a patient with metachronous colorectal cancer recurrence within the thyroid gland and include an exhaustive literature review of the condition. In all, 68 patients were reported in the literature either as case reports or in case series studies. Conclusion Thyroid metastasis from CRC mainly present metachronous, more frequently from colon cancer, being an isolated site of spread or associated with oligometastasis in most patients. Thyroid metastasectomy is reported with good survival. Further reporting and comparing survival of those patients to other sites of spread is encouraged.

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