RESUMO
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Metastasis to the thyroid occur infrequently. Theoverall incidence in autopsy series vary from 0-5%in unselected cases to 24% in patients with a knownmalignancy. They usually occur when there are anothermetastases, sometimes many years after diagnosisof the original primary tumour. We presentthe case of a woman with dysphagia and dysphoniadue to a thyroid mass as first manifestation of ametastatic breast cancer
Assuntos
Feminino , Adulto , Humanos , Nódulo da Glândula Tireoide/patologia , Neoplasias da Mama/patologia , Neoplasias da Glândula Tireoide/secundário , Distúrbios da Voz/etiologia , Transtornos de Deglutição/etiologia , Metástase Neoplásica/patologiaRESUMO
It is uncommon for a cancer to be diagnosed becauseof skin metastases. Cutaneous metastases as initialmanifestation of internal neoplasias, represent only0.8% of total cases and implies, in general, a very advancedgrade of the disease and short survival.When skin metastases of an unknown primary siteappear, lung cancer is the first option to be discardedin case of men, and breast cancer in case of women.Lung cancer spreads to the skin in 2.8-8.7% of thecases, in advanced phases of the disease, althoughjust in 7-23.8% of the cases, cutaneous metastasesappear as first manifestation of the primary tumor.Sometimes, a complete examination to discover thetumor reveals no metastases elsewhere
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