Title of article :
Case Report: Retro-Orbital Metastasis from Differentiated Thyroid Carcinoma in a Radioiodine Therapy-Naïve Patient: Any Lesson Learned?
Author/Authors :
Okere, P.C.N. University of Nigeria Teaching Hospital - Department of Radiation Medicine, Nigeria , Tushar, M. All India Institute of Medical Sciences - Department of Nuclear Medicine, India
Abstract :
Objective: To present the case of a radioiodine therapy-naïve thyroid cancer patient with postthyroidectomy diplopia. Clinical Presentation and Intervention: A 63-year-old male patient presented with goiter. Histology performed after thyroidectomy proved follicular thyroid cancer. Without 131I therapy, diplopia occurred from metastasis to the right medial rectus muscle. Improvement followed after one therapy dose of 131I. Conclusion: Postoperative radioiodine was important in managing this patient with differentiated thyroid cancer. This case showed that retro-orbital metastasis should be considered as a differential diagnosis in a patient with thyroid cancer who presents with unilateral diplopia.
Keywords :
Radioiodine therapy , Follicular thyroid carcinoma , Retro , orbital metastasis , Diplopia
Journal title :
Medical Principles and Practice
Journal title :
Medical Principles and Practice
