DOI: 10.36347/sjmcr.2018.v06i10.003

Pages: 738-741

Medullary carcinoma of the thyroid (MCT) is rare. Lymphophilic dissemination is frequent and early and metastatic progression is often multiple localizations. MCT metastasis is exceptionally in the pancreas. We report the case of a 63-year-old patient, who had lymphnode dissection thyroidectomy 10 years ago, admitted for epigastralgia without jaundice or gastrointestinal hemorrhage. Abdominal CT showed a mass of the pancreas head without secondary lesion. A cephalic duodeno pancreatectomy was performed and 3 years later, the patient is in good general condition and free from any tumor recurrence. Pancreatic metastases of medullary thyroid carcinomas are rare most commonly found on imaging. The treatment is surgical, the prognosis is better than in case of primary tumor.