Uterine Sarcoma Presenting as Hypercapnic Respiratory Failure

Thyroid cancer is a type of malignancy that is considered to have a low morbidity and an indolent disease course in most patients. Though some of its pathologic variants such as anaplastic carcinoma may present with advanced disease staging, it is important to consider the possibility of metastasis to thyroid which may present like a thyroid primary. Solid organ carcinomas form the bulk of the uncommon metastasis to the thyroid, though sarcomas from various organs also rarely exhibit this activity. Literature demonstrating sound diagnostic criteria for these occurrences is sparse. We present a case of uterine sarcoma with distant metastasis to the thyroid gland that initially presented as hypercapnic respiratory failure. Only an inpatient episode of uterine bleeding prompted our team to explore the potential of a metastatic process. Our diagnosis was made utilizing a multidisciplinary approach that we feel is important for clinicians dealing with metastatic disease to the thyroid. In addition to sound physical exam, and use of appropriate imaging modality, we feel it is essential to utilize a detailed cytohistologic specimen evaluation, immunohistochemistry, and genetic sequencing to effectively work up such patients. Although our patient did not survive her hospital stay, we hope this paper brings greater awareness of this malignancy and acts as a benchmark for diagnosing such an unusual remote primary.

Standort
Deutsche Nationalbibliothek Frankfurt am Main
Umfang
Online-Ressource
Sprache
Englisch

Erschienen in
Uterine Sarcoma Presenting as Hypercapnic Respiratory Failure ; volume:15 ; number:2 ; year:2022 ; pages:586-592 ; extent:7
Case reports in oncology ; 15, Heft 2 (2022), 586-592 (gesamt 7)

Urheber
Boldig, Kimberly
Montanarella, Matthew
Marji, Noor
Siddiqi, Anwer

DOI
10.1159/000524547
URN
urn:nbn:de:101:1-2022092200404398371999
Rechteinformation
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Letzte Aktualisierung
15.08.2025, 07:22 MESZ

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Beteiligte

  • Boldig, Kimberly
  • Montanarella, Matthew
  • Marji, Noor
  • Siddiqi, Anwer

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