A CASE OF SCLEROSING EPITHELIOID FIBROSARCOMA WITH METASTASES TO THE THYROID
Keywords:
thyroid, sclerosing epithelioid fibrosarcoma, thyroid metastases, sarcomaAbstract
CASE
Sclerosing Epithelioid Fibrosarcoma (SEF) is a rare form of sarcoma with slow growth, often with local recurrences/ distant metastases. Treatment is by wide excision and adjuvant chemotherapy/radiotherapy. A 36-year-old Filipino female was first diagnosed with SEF when she presented with abdominal pain and elevated lipases and amylases. CT showed lesions in the pancreas, left erector spinae, axilla, lateral chest wall, left lower lung lobe, and liver. Biopsy revealed round cell sarcoma consistent with SEF. She underwent wide excision of the masses and adjuvant chemotherapy. After 6 months, an enlarging mass was noted on the thyroid. Thyroid function tests were normal. On thyroid ultrasound, a 2.6 x 1.8 x 2.4 cm, hypoechoic, solid nodule in the right lobe and a 0.3 x 0.2 x 0.3 cm hypoechoic solid nodule in the left lobe were seen. She underwent a total thyroidectomy. Histopathologic examination of the thyroid mass confirmed SEF.
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Copyright (c) 2023 Nichole Andrea Bisquera, Michael Villa
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