BMJ Case Reports 2017; doi:10.1136/bcr-2017-221296
1. Abdominal pain and loss of appetite in 72 Y/O female.
Drawing of the location of the adrenal glands superior to kidneys.
Thyroid cancer has rarely been the cause of large metastatic disease to the adrenals.
Usual causes include lung and liver but rarely thyroid cancer except with terminal spread.
2. Prior lobectomy 18 years before for a benign nodule.
3.CT= 11×9 cm mass in the adrenal. Non-functioning.
4. Adrenalectomy, revealed metastatic well-differentiated thyroid carcinoma.
5. Post surgery Ultrasound = thyroid suspicious small nodule.
6. Completion thyroidectomy = follicular variant of papillary thyroid carcinoma.
7. She was treated with high-dose radioiodine ablation therapy and has remained disease-free on follow-up for more than a year.